Senior Field Reimbursement Manager – Liver

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

📋 Description

• Stay updated on local and national payer policies as well as acquisition pathways.

• Actively tackle coverage and reimbursement issues to guarantee timely access to treatments.

• Collaborate with Therapeutic Specialists, Marketing, Patient Support, and various internal teams.

• Build and maintain relationships with providers, specialty pharmacies, and other essential account stakeholders.

• Act as a regional reimbursement expert and utilize influence mapping to identify and engage key customer accounts.

• Enhance processes for hub and field reimbursement managers, including benefit verification and prior-authorization education.

• Communicate updates regarding formulary and reimbursement process changes for Gilead products.

• Develop instructional materials for providers and office staff focusing on reimbursement best practices.

• Foster better communication between field reimbursement managers and HUB case managers.

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

• Travel throughout the Southeast region and manage strategic accounts.

⛳️ Requirements

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

• Preferred: 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 equivalent roles.

• Preferred: MA/MS/PharmD with more than 6 years of experience in a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or similar positions.

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

• Extensive knowledge of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies regarding reimbursement and access.

• Experience with complex provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or accounts across 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.

• 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.

• Capability to influence without authority, align matrixed stakeholders, and convert account-level challenges into scalable process enhancements.

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

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

• Must reside within 10 miles of the 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.

• Reasonable accommodation for applicants with disabilities.