Senior Field Reimbursement Manager – HIV Prevention

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

📋 Description

• Cultivate and oversee strategic business relationships with key account stakeholders within major health systems, integrated delivery networks (IDNs), specialty pharmacies, national and regional accounts, as well as Priority/SWAT accounts.

• Facilitate access for patients to Gilead’s HIV Prevention products.

• 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 account strategies that span across regions.

• Evaluate systemic barriers to access and reimbursement, which include benefit verification, prior authorization, medical exceptions, claims, acquisition, specialty pharmacy, and long-acting injection 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 in formulary, coverage, payer policies, and reimbursement procedures.

• Develop and implement instructional resources, account implementation strategies, and best-practice education.

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

• Identify obstacles in the patient journey and leverage technology tools, insights, and escalation pathways to address situations in accounts with high needs.

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

• Foster inclusion, develop talent, and empower teams in a leadership capacity.

⛳️ Requirements

• Bachelor's Degree with eight years of experience, OR a Master's Degree with six years of experience, OR a Ph.D.

• Proven experience within a major pharmaceutical organization focusing on field reimbursement, access, patient services, market access, account management, or similar roles.

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

• Profound understanding of the roles of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in the reimbursement and access landscape.

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

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

• Experience collaborating with specialty pharmacies and HUB services.

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

• Strong executive presence and comfort in engaging with C-suite or 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.

• Candidates must be located in or near the assigned geography and be able to travel frequently.

• This position is field-based, necessitating in-person meetings with key stakeholders.

🏝️ 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.