Senior Field Reimbursement Manager – HIV Prevention

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

📋 Description

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

• Enhance patient access to Gilead’s HIV Prevention products.

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

• Utilize influence mapping to identify stakeholders in executive roles, pharmacy, billing, implementation, provider, and operations.

• Direct coordinated, cross-regional account strategies for multi-site accounts.

• Evaluate systemic access and reimbursement challenges, including benefit verification, prior authorization, medical exceptions, claims processing, acquisition, specialty pharmacy, and long-acting injectable (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 updates on formulary, coverage, payer policies, and changes in reimbursement processes.

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

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

• Identify bottlenecks in the patient journey and employ technological tools, insights, and escalation pathways to resolve high-need account challenges.

• Evaluate success through education delivery, implementation achievements, resolution of systemic issues, improved coordination, and scalable access/reimbursement support.

• Exhibit cultural sensitivity and tailor support to diverse account environments.

• Maintain a patient-centric, collaborative approach aimed at access and positive outcomes.

• As a leader, foster inclusion, nurture talent, and empower teams.

⛳️ Requirements

• Candidates must reside in or near the designated geography.

• Willingness to travel extensively; must be prepared to travel 75% of the time across specified regions and strategic accounts.

• Bachelor’s Degree and Eight Years of Experience OR Master’s Degree and Six Years of Experience OR Ph.D.

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

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

• In-depth understanding of the interactions between payers, providers, health systems, specialty pharmacies, and pharmaceutical companies concerning reimbursement and access.

• Experience in engaging with and managing large, complex 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, specialty payer landscapes, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments.

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

• Experience partnering with specialty pharmacies and HUB services to enhance account-specific workflow optimization and patient access processes.

• Proven ability to influence without formal authority, align stakeholders across matrixed environments, and translate account-level barriers into scalable process improvements.

• Strong executive presence and comfort in engaging with C-suite or executive leadership, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders.

• Previous leadership experience in enterprise accounts, IDN/health systems, or cross-functional account strategies is highly preferred.

🏝️ Benefits

• Eligibility for discretionary annual bonuses.

• Potential eligibility for discretionary stock-based long-term incentives, which may vary based on role.

• Paid time off.

• Company-sponsored medical insurance.

• Company-sponsored dental insurance.

• Company-sponsored vision insurance.

• Company-sponsored life insurance.

• Comprehensive benefits package.