Senior Field Reimbursement Manager – Liver

This is a fully remote position, open to applicants in Louisiana, +1 more state.

📋 Description

• Stay updated on local and national payer regulations and acquisition pathways

• Proactively tackle coverage and reimbursement challenges to guarantee timely access to treatment

• Collaborate with Therapeutic Specialists (Sales), Marketing, and Patient Support to synchronize patient access strategies

• Oversee multiple projects and pinpoint opportunities to enhance workflows

• Build and maintain relationships with providers and specialty pharmacies to ensure patient access to Gilead products

• Act as a regional reimbursement authority and use influence mapping to identify and engage key customer accounts

• Support the internal patient support program team with benefit verification and prior authorization education

• Communicate changes in formulary and reimbursement processes, educating accounts on medical exceptions and prior authorization requirements

• Work with internal and external stakeholders to develop instructional reimbursement resources

• Collaborate with the Gilead HUB to enhance communication between FRMs and case managers

• Identify bottlenecks in the patient journey and utilize technology tools to address high-need cases

• Attend in-person meetings with key stakeholders across designated regions and strategic accounts

• Foster inclusion, talent development, and team empowerment through people-leader responsibilities

⛳️ Requirements

• Bachelor's Degree with Eight Years’ Experience OR Master's Degree with Six Years’ Experience OR Ph.D.

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

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

• Prior leadership experience, enterprise account management, IDN/health system, or cross-functional account strategy experience is highly preferred

• Extensive understanding of the dynamics between payers, providers, health systems, specialty pharmacies, and pharmaceutical companies regarding reimbursement and access

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

• Knowledge of pharmacy benefits, medical benefits, specialty payer landscape, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments

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

• Experience collaborating with specialty pharmacies and HUB services to support account-specific workflow optimization and patient access processes

• Capability to influence without authority, align matrixed stakeholders, and convert account-level barriers into scalable process improvements

• Strong executive presence and comfort 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 reside within 10 miles of their region's borders

🏝️ 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