Gilead Sciences, Inc.
Senior Field Reimbursement Manager - Mid Atlantic
Gilead Sciences, Inc., Virginia, Minnesota, United States, 55792
Senior Field Reimbursement Manager – Mid Atlantic
United States – Remote, United States - Virginia - Roanoke, United States - Virginia - Richmond, United States - North Carolina - Raleigh Commercial/Sales Operations Regular Overview
At Gilead, we’re 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. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. 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, and as a people leader you are key to evolving our culture and empowering every employee to fulfil their aspirations. Join Gilead and help create possible, together. Job Description
Job Description: As an expert in HIV Prevention market access, the Sr. FRM – HIV Prevention will stay 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. The Sr. FRM – HIV Prevention will also engage in problem-solving to manage multiple projects and continuously identify opportunities for improving workflows, ultimately helping patients receive the necessary treatments without unnecessary delays. 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. 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. Oversee processes for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely manner. 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, guiding the team to adapt to different environments and practices without being overly prescriptive. Embodies a collaborative approach dedicated to ensuring individual patient access and positive outcomes through teamwork. Qualifications
Basic Qualifications
Bachelor's Degree and Eight Years’ Experience OR Master's Degree and Six Years’ Experience OR Ph.D. Preferred Qualifications
BA/BS/RN with 8+ years of experience in field reimbursement at a major pharmaceutical organization. MA/MS/PharmD with 6+ years of experience in field reimbursement at a major pharmaceutical organization. Prior leadership experience is strongly preferred. Deep understanding of payer-provider-pharma relationships in reimbursement. Experience managing large, complex provider accounts. Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). Understanding of local and state policy changes’ effect on reimbursement. Experience with specialty pharmacies and HUB services is a plus. A willingness to travel 75% of the time across designated regions. This is a field-based role requiring in-person meetings with key stakeholders. Compensation and Benefits
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. This position may be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary by role), paid time off, and a benefits package. Benefits include company-sponsored medical, dental, vision, and life insurance plans. Eligible employees may participate in benefit plans, subject to plan terms. For more information, visit:
https://www.gilead.com/careers/compensation-benefits-and-wellbeing EEO and Compliance
Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants, and is dedicated to fostering an inclusive work environment comprised of diverse perspectives, backgrounds, and experiences. Employment decisions will be made without discrimination based on protected characteristics as outlined by applicable laws. Reasonable accommodations for applicants may be requested via ApplicantAccommodations@gilead.com. Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team. Gilead provides a work environment free of harassment and supports diversity of thought and opinion. Notes
For current Gilead employees and contractors, please apply via the Internal Career Opportunities portal in Workday.
#J-18808-Ljbffr
United States – Remote, United States - Virginia - Roanoke, United States - Virginia - Richmond, United States - North Carolina - Raleigh Commercial/Sales Operations Regular Overview
At Gilead, we’re 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. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. 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, and as a people leader you are key to evolving our culture and empowering every employee to fulfil their aspirations. Join Gilead and help create possible, together. Job Description
Job Description: As an expert in HIV Prevention market access, the Sr. FRM – HIV Prevention will stay 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. The Sr. FRM – HIV Prevention will also engage in problem-solving to manage multiple projects and continuously identify opportunities for improving workflows, ultimately helping patients receive the necessary treatments without unnecessary delays. 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. 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. Oversee processes for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely manner. 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, guiding the team to adapt to different environments and practices without being overly prescriptive. Embodies a collaborative approach dedicated to ensuring individual patient access and positive outcomes through teamwork. Qualifications
Basic Qualifications
Bachelor's Degree and Eight Years’ Experience OR Master's Degree and Six Years’ Experience OR Ph.D. Preferred Qualifications
BA/BS/RN with 8+ years of experience in field reimbursement at a major pharmaceutical organization. MA/MS/PharmD with 6+ years of experience in field reimbursement at a major pharmaceutical organization. Prior leadership experience is strongly preferred. Deep understanding of payer-provider-pharma relationships in reimbursement. Experience managing large, complex provider accounts. Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). Understanding of local and state policy changes’ effect on reimbursement. Experience with specialty pharmacies and HUB services is a plus. A willingness to travel 75% of the time across designated regions. This is a field-based role requiring in-person meetings with key stakeholders. Compensation and Benefits
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. This position may be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary by role), paid time off, and a benefits package. Benefits include company-sponsored medical, dental, vision, and life insurance plans. Eligible employees may participate in benefit plans, subject to plan terms. For more information, visit:
https://www.gilead.com/careers/compensation-benefits-and-wellbeing EEO and Compliance
Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants, and is dedicated to fostering an inclusive work environment comprised of diverse perspectives, backgrounds, and experiences. Employment decisions will be made without discrimination based on protected characteristics as outlined by applicable laws. Reasonable accommodations for applicants may be requested via ApplicantAccommodations@gilead.com. Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team. Gilead provides a work environment free of harassment and supports diversity of thought and opinion. Notes
For current Gilead employees and contractors, please apply via the Internal Career Opportunities portal in Workday.
#J-18808-Ljbffr