Gilead Sciences

Senior Field Reimbursement Manager

Gilead Sciences

full-time

Posted on:

Location Type: Office

Location: New Orleans • Florida, Louisiana, Mississippi • 🇺🇸 United States

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Salary

💰 $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, 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)
  • 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 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
  • Increase coordination with the Gilead HUB to enhance communication channels between FRMs and case managers
  • Identify bottlenecks in the prescription journey and utilize technology tools to respond promptly to high-need cases
  • Demonstrates cultural awareness, open-mindedness, flexibility, and a collaborative approach dedicated to ensuring 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 (stated 50% with overnights; preferred up to 75%)
  • Must reside within 10 miles of their region’s borders
  • Field-based role where in-person meetings with key stakeholders are crucial to success
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 information provided via company careers page

ATS Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
reimbursement processesbenefit verificationprior authorizationpatient support programspharmacy benefitsreimbursement pathwaysprovider enrollmentcase managementstakeholder engagementcomplex account management
Soft skills
collaborationcommunicationcultural awarenessopen-mindednessflexibilityleadershipstrategic educationproblem-solvingrelationship managementdedication to patient outcomes
Certifications
Bachelor's DegreeMaster's DegreePh.D.BA/BS/RNMA/MS/PharmD
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