Gilead Sciences
Senior Field Reimbursement Manager - Mid Atlantic
Gilead Sciences, Richmond, Virginia, United States, 23214
Senior Field Reimbursement Manager - Mid Atlantic
Gilead is creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Job Description:
As an expert in HIV Prevention market access, the Sr. FRM – HIV Prevention will remain informed about local and national payer policies and acquisition pathways, proactively addressing coverage and reimbursement challenges to ensure timely treatment access. Collaboration with internal teams, including Therapeutic Specialists (Sales), Marketing, Account Management, and Patient Support, will be essential for aligning patient access strategies across the organization. This is a field-based role supporting the Virginia and Raleigh, NC area: candidates must be able to travel 50% of the time with overnights included and reside within 10 miles of their region’s borders. Specific Job Responsibilities: Develop and manage business relationships with office staff at key accounts, including providers and specialty pharmacies, to facilitate patient access to Gilead’s products. Serve as a local access and reimbursement expert, on access and reimbursement policies, processes, and practices, providing strategic education and support to internal and external stakeholders to drive successful access and reimbursement outcomes. Assist the internal patient support program team in enhancing hub and FRM processes, such as streamlining benefit verification and improving education on prior authorizations to expedite patient treatment initiation. Communicate changes in formulary or reimbursement processes for Gilead products, ensuring accounts receive timely support and education on requirements like medical exceptions and prior authorization. Excel at collaborating with cross-functional internal and external stakeholders to create instructional resources that help providers and office staff understand best practices in reimbursement processes. Increase coordination with the Gilead HUB to enhance communication channels between FRMs and case managers, providing efficient support to accounts. Identify bottlenecks in the prescription journey that hinder therapy application and utilize technology tools to respond promptly to high-need cases. Demonstrates open-mindedness and flexibility, being aware of cultural similarities and differences without assigning value, guiding the team to adapt to different environments and practices without being overly prescriptive. Embodies a collaborative approach wholly dedicated to ensuring individual patient access and positive outcomes through teamwork, placing the individual who may need or benefit from PrEP and team success at the forefront. Basic Qualifications: Bachelor's Degree and Eight Years’ Experience OR Masters' Degree and Six Years’ Experience OR Ph.D. Preferred Qualifications: BA/BS/RN with 8+ years of experience working for a major pharmaceutical organization on the field reimbursement team. MA/MS/PharmD with 6+ years of experience working for a major pharmaceutical organization on the field reimbursement team. Prior leadership experience is strongly preferred. Deep understanding of the relationship between payers, providers, and pharma companies in reimbursement. Experience engaging with and managing large, complex provider accounts. Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). An understanding of local and state policy changes' effect on reimbursement policies. Preferably have experience with specialty pharmacies and utilizing a HUB service A willingness to travel 75% of the time across designated regions. The salary range for this position is: $153,935.00 - $199,210.00. Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants for employment, and is dedicated to fostering an inclusive work environment comprised of diverse perspectives, backgrounds, and experiences.
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Gilead is creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Job Description:
As an expert in HIV Prevention market access, the Sr. FRM – HIV Prevention will remain informed about local and national payer policies and acquisition pathways, proactively addressing coverage and reimbursement challenges to ensure timely treatment access. Collaboration with internal teams, including Therapeutic Specialists (Sales), Marketing, Account Management, and Patient Support, will be essential for aligning patient access strategies across the organization. This is a field-based role supporting the Virginia and Raleigh, NC area: candidates must be able to travel 50% of the time with overnights included and reside within 10 miles of their region’s borders. Specific Job Responsibilities: Develop and manage business relationships with office staff at key accounts, including providers and specialty pharmacies, to facilitate patient access to Gilead’s products. Serve as a local access and reimbursement expert, on access and reimbursement policies, processes, and practices, providing strategic education and support to internal and external stakeholders to drive successful access and reimbursement outcomes. Assist the internal patient support program team in enhancing hub and FRM processes, such as streamlining benefit verification and improving education on prior authorizations to expedite patient treatment initiation. Communicate changes in formulary or reimbursement processes for Gilead products, ensuring accounts receive timely support and education on requirements like medical exceptions and prior authorization. Excel at collaborating with cross-functional internal and external stakeholders to create instructional resources that help providers and office staff understand best practices in reimbursement processes. Increase coordination with the Gilead HUB to enhance communication channels between FRMs and case managers, providing efficient support to accounts. Identify bottlenecks in the prescription journey that hinder therapy application and utilize technology tools to respond promptly to high-need cases. Demonstrates open-mindedness and flexibility, being aware of cultural similarities and differences without assigning value, guiding the team to adapt to different environments and practices without being overly prescriptive. Embodies a collaborative approach wholly dedicated to ensuring individual patient access and positive outcomes through teamwork, placing the individual who may need or benefit from PrEP and team success at the forefront. Basic Qualifications: Bachelor's Degree and Eight Years’ Experience OR Masters' Degree and Six Years’ Experience OR Ph.D. Preferred Qualifications: BA/BS/RN with 8+ years of experience working for a major pharmaceutical organization on the field reimbursement team. MA/MS/PharmD with 6+ years of experience working for a major pharmaceutical organization on the field reimbursement team. Prior leadership experience is strongly preferred. Deep understanding of the relationship between payers, providers, and pharma companies in reimbursement. Experience engaging with and managing large, complex provider accounts. Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). An understanding of local and state policy changes' effect on reimbursement policies. Preferably have experience with specialty pharmacies and utilizing a HUB service A willingness to travel 75% of the time across designated regions. The salary range for this position is: $153,935.00 - $199,210.00. Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants for employment, and is dedicated to fostering an inclusive work environment comprised of diverse perspectives, backgrounds, and experiences.
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