Senior Field Reimbursement Manager – HIV Prevention

This is a fully remote position, open to applicants in California.

📋 Description

• Cultivate and oversee strategic business relationships with key account stakeholders within extensive health systems, IDNs, specialty pharmacies, national and regional accounts, as well as Priority/SWAT accounts.

• Act as an enterprise-level expert in reimbursement and access.

• Utilize influence mapping to pinpoint executive, pharmacy, billing, implementation, provider, and operational stakeholders.

• Lead coordinated, cross-regional account strategies to minimize redundancy and clarify roles.

• Evaluate systemic barriers to access and reimbursement, including benefit verification, prior authorization, medical exceptions, claims, acquisition, specialty pharmacy, and LAI operational workflows.

• Collaborate with senior account stakeholders and internal matrix teams to establish and enhance scalable reimbursement processes.

• Assist the internal patient support program team in improving HUB and FRM processes.

• Relay changes to formulary, coverage, payer policy, and reimbursement processes.

• Develop and implement instructional resources, account implementation plans, and best-practice educational materials.

• Coordinate efforts among FRMs, Long-Acting Implementation Directors, Strategic Account Managers, Prevention Specialists, Market Access, the Gilead HUB, Marketing, and Patient Support.

• Identify bottlenecks in the patient journey and employ technology tools, insights, and escalation pathways to address critical account situations.

• Assess the effectiveness of educational delivery, implementation success, resolution of systemic issues, coordination, and scalable access/reimbursement support.

• Exhibit cultural sensitivity while maintaining a patient-centric approach.

⛳️ Requirements

• A Bachelor's Degree with Eight Years of Experience, a Master's Degree with Six Years of Experience, or a Ph.D.

• BA/BS/RN with over 8 years of experience in a major pharmaceutical organization focusing on field reimbursement, access, patient services, market access, account management, or similar roles.

• MA/MS/PharmD with over 6 years of experience in a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or a related capacity.

• Profound knowledge of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in terms of reimbursement and access.

• Experience managing large, intricate provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or accounts that span multiple states or regions.

• Familiarity with pharmacy benefits, medical benefits, the specialty payer landscape, reimbursement pathways, and acquisition models across various payer segments including commercial, Medicare, and Medicaid.

• Understanding of local, state, and national policy shifts and their impact on reimbursement, coverage, acquisition, and account workflows.

• Experience collaborating with specialty pharmacies and HUB services.

• Ability to influence without direct authority, align matrixed stakeholders, and convert account barriers into scalable process enhancements.

• Strong executive presence with the capability to engage with C-suite and executive leadership, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders.

• Willingness to travel 75% of the time across designated regions and strategic accounts.

🏝️ Benefits

• Discretionary annual bonus.

• Discretionary stock-based long-term incentives.

• Paid time off.

• Company-sponsored medical insurance.

• Company-sponsored dental insurance.

• Company-sponsored vision insurance.

• Company-sponsored life insurance.