Therapy Development Specialist
Abbott
Senior Field Reimbursement Manager
Gilead Sciences
full-time
Posted on:
Location Type: Office
Location: Kansas City • Kansas, Montana, Oklahoma • 🇺🇸 United States
Visit company websiteSalary
💰 $153,935 - $199,210 per year
Job Level
Senior
About the role
- 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.
- Assist the internal patient support program team in enhancing hub and FRM processes (streamline benefit verification, improve education on prior authorizations) to expedite treatment initiation.
- Oversee processes for providers to enroll patients in Gilead patient support programs and work directly with case managers to resolve complex patient access questions.
- Communicate changes in formulary or reimbursement processes and educate accounts on requirements like medical exceptions and prior authorization.
- Collaborate with cross-functional internal and external stakeholders to create instructional resources for providers and office staff on reimbursement best practices.
- Increase coordination with the Gilead HUB to improve communication between FRMs and case managers and provide efficient support to accounts.
- Identify bottlenecks in the prescription journey, utilize technology tools to respond to high-need cases, and continuously improve workflows.
- Demonstrate cultural awareness, open-mindedness, and flexibility; embody a collaborative approach focused on individual patient access and positive outcomes.
Requirements
- Bachelor's Degree and Eight Years’ Experience OR Masters' Degree and Six Years’ Experience OR Ph.D.
- BA/BS/RN with 8+ years of experience working for a major pharmaceutical organization on the field reimbursement team (preferred)
- MA/MS/PharmD with 6+ years of experience working for a major pharmaceutical organization on the field reimbursement team (preferred)
- Prior leadership experience 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)
- Understanding of local and state policy changes' effect on reimbursement policies
- Preferably have experience with specialty pharmacies and utilizing a HUB service
- Willingness/ability to travel frequently (posting states 50% travel with overnights; preferred mentions up to 75%)
- Must reside within ~10 miles of the region’s borders (field-based Midwest: KS, MO, AR, OK)
- Experience working in HIV Prevention market access and payer policy contexts
- Ability to work in-person with key stakeholders (field-based role)
Benefits
- discretionary annual bonus
- discretionary stock-based long-term incentives (eligibility may vary based on role)
- paid time off
- company-sponsored medical, dental, vision, and life insurance plans
- benefits package (additional details at https://www.gilead.com/careers/compensation-benefits-and-wellbeing)
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursement policiesbenefit verificationprior authorizationspatient support programsworkflow improvementpharmacy benefitsreimbursement pathwayspayer policyHIV prevention market accessprovider account management
Soft skills
collaborationcultural awarenessopen-mindednessflexibilitycommunicationstrategic educationproblem-solvingleadershipstakeholder engagementrelationship management
Certifications
Bachelor's DegreeMaster's DegreePh.D.BA/BS/RNMA/MS/PharmD
