Senior Field Reimbursement Manager- HIV Prevention Tennessee

At Gilead were creating a healthier world for all people. For more than 35 years weve tackled diseases such as HIV viral hepatitis COVID-19 and cancer working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the worlds biggest health challenges and our mission requires collaboration determination and a relentless drive to make a difference.

Every member of Gileads team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions and were looking for the next wave of passionate and ambitious people ready to make a direct impact.

We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future you are the key driver in evolving our culture and creating an environment where every employee feels included developed and empowered to fulfil their aspirations. Join Gilead and help create possible together.

Job Description

Gileads mission is to discover develop and deliver therapies that will improve the lives of patients with life-threatening illnesses worldwide. The Senior Field Reimbursement Manager HIV Prevention is a highly specialized priority account-focused role responsible for supporting access and reimbursement optimization across large complex health systems IDNs and national or regional accounts that span multiple geographies and require additional coordination and access/reimbursement support.

The remote/field-based role supports strategic multi-location multi-state multi-region or national Priority/SWAT accounts. Candidates must reside in or near the assigned geography and be able to travel extensively to engage account stakeholders in person.

Key responsibilities:

• Develop and manage strategic business relationships with key account stakeholders across large health systems IDNs specialty pharmacies national/regional accounts and Priority/SWAT accounts to facilitate patient access to Gileads HIV Prevention products.
• Serve as an enterprise-level reimbursement and access expert using influence mapping to identify executive pharmacy billing implementation provider and operational stakeholders across complex organizations.
• Lead coordinated cross-regional account strategies that reduce duplication of effort improve role clarity across local FRMs and matrix partners and enable consistent customer support across multi-site accounts.
• Assess systemic access and reimbursement barriers impacting multiple sites including benefit verification prior authorization medical exception claims acquisition specialty pharmacy and LAI operational workflows.
• Partner with senior account stakeholders and internal matrix teams to establish optimize and support scalable reimbursement processes aligned to the accounts operating model.
• Provide information and support to the internal patient support program team in enhancing HUB and FRM processes including education on prior authorizations benefit verification case management handoffs and account-specific workflow optimization.
• Communicate changes in formulary coverage payer policy or reimbursement processes for Gilead products and ensure strategic accounts receive timely education and support on requirements such as prior authorization and medical exception pathways.
• Create and deploy instructional resources account implementation plans and best-practice education that help providers office staff billing teams revenue cycle teams and implementation stakeholders understand reimbursement processes at scale.
• Increase appropriate coordination between FRMs Long-Acting Implementation Directors Strategic Account Managers Prevention Specialists Market Access the Gilead HUB Marketing Patient Support and other cross-functional partners to improve communication channels and account execution.
• Identify bottlenecks in the patient journey that hinder initial or ongoing access and use appropriate technology tools insights and escalation pathways to respond to high-need account situations.
• Measure success through education delivery implementation success systemic issue/process resolution improved coordination and scalable access/reimbursement support across strategic accounts.
• Cultural Sensitivity: Demonstrates open-mindedness and flexibility being aware of cultural similarities and differences without assigning value and adapts support to varying account environments and practices without being overly prescriptive.
• Patient-Centric Focus: Embodies a collaborative approach wholly dedicated to ensuring patient access and positive outcomes through teamwork placing patient and team success at the forefront.

Basic Qualifications:

Bachelors Degree and Eight Years Experience

OR

Masters Degree and Six Years Experience

OR

Ph.D.

Preferred Qualifications:

• BA/BS/RN with 8 years of experience working for a major pharmaceutical organization on a field reimbursement access patient services market access account management or related team.
• MA/MS/PharmD with 6 years of experience working for a major pharmaceutical organization in field reimbursement access patient services market access account management or related role.
• Prior leadership enterprise account IDN/health system or cross-functional account strategy experience is strongly preferred.
• Deep understanding of the relationship between payers providers health systems specialty pharmacies and pharmaceutical companies in reimbursement and access.
• Demonstrated experience engaging with and managing large complex provider accounts multi-location health systems IDNs national/regional accounts and/or accounts spanning multiple states or regions.
• Familiarity with pharmacy benefits medical benefits specialty payer landscape reimbursement pathways and acquisition models across commercial Medicare Medicaid and other payer segments.
• Understanding of local state and national policy changes and their effect on reimbursement coverage acquisition and account workflows.
• Experience partnering with specialty pharmacies and HUB services to support account-specific workflow optimization and patient access processes.
• Ability to influence without authority align matrixed stakeholders and translate account-level barriers into scalable process improvements.
• Strong executive presence and comfort engaging C-suite or executive leadership pharmacy directors revenue cycle leaders implementation leaders and system stakeholders.
• A willingness to travel 75% of the time across designated regions and strategic accounts.
• This is a field-based role where in-person meetings with key stakeholders are crucial to success.

People Leader Accountabilities

• Create Inclusion - knowing the business value of diverse teams modeling inclusion and embedding the value of diversity in the way they manage their teams.
• Develop Talent - understand the skills experience aspirations and potential of their employees and coach them on current performance and future potential. They ensure employees are receiving the feedback and insight needed to grow develop and realize their purpose.
• Empower Teams - connect the team to the organization by aligning goals purpose and organizational objectives and holding them to account. They provide the support needed to remove barriers and connect their team to the broader ecosystem.

The salary range for this position is: $177905.00 - $230230.00. Gilead considers a variety of factors when determining base compensation including experience qualifications and geographic location. These considerations mean actual compensation will vary. This position may also be eligible for a discretionary annual bonus discretionary stock-based long-term incentives (eligibility may vary based on role) paid time off and a benefits package. Benefits include company-sponsored medical dental vision and life insurance plans*.

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Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants for employment and is dedicated to fostering an inclusive work environment comprised of diverse perspectives backgrounds and experiences. Employment decisions regarding recruitment and selection will be made without discrimination based on race color religion national origin sex age sexual orientation physical or mental disabilitygenetic information or characteristic gender identity and expression veteran status or other non-job related characteristics or other prohibited grounds specified in applicable federal state and local order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Era Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact for assistance.

For more information about equal employment opportunity protections please view the Know Your Rights poster.

Gilead Sciences will not discharge or in any other manner discriminate against employees or applicants because they have inquired about discussed or disclosed their own pay or the pay of another employee or applicant. However employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information unless the disclosure is (a) in response to a formal complaint or charge (b) in furtherance of an investigation proceeding hearing or action including an investigation conducted by the employer (c) consistent with the legal duty to furnish information; or (d) otherwise protected by law.

Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Gilead provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.

For Current Gilead Employees and Contractors:

Please apply via the Internal Career Opportunities portal in Workday.

Required Experience:

Manager