Senior Field Reimbursement Manager – Liver

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

📋 Description

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

• Proactively tackle coverage and reimbursement challenges to facilitate timely access to treatment.

• Collaborate with Therapeutic Specialists, Marketing, Patient Support, and other internal departments.

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

• Act as a regional reimbursement authority and identify key customer accounts to engage.

• Support the patient support program team in enhancing hub and FRM processes, including education on benefit verification and prior authorization.

• Relay any changes regarding formulary and reimbursement processes related to Gilead products.

• Develop educational materials for providers and office personnel on best practices for reimbursement.

• Enhance communication between FRMs and case managers by coordinating with the Gilead HUB.

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

• Travel across assigned regions and strategic accounts.

⛳️ Requirements

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

• Candidates should live within 10 miles of their region's borders.

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

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

• Previous leadership experience, as well as experience with enterprise accounts, IDN/health system, or cross-functional account strategies, is highly preferred.

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

• Proven experience in engaging and managing large, complex provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or accounts that span multiple states or regions.

• Understanding of pharmacy benefits, medical benefits, specialty payer landscapes, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments.

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

• Experience collaborating with specialty pharmacies and HUB services.

• Ability to influence without formal authority, align diverse stakeholders, and translate account-level obstacles into scalable process enhancements.

• Strong executive presence with comfort in engaging 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.

🏝️ 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

• Comprehensive benefits package