Sr Field Reimbursement Manager HIV Prevention San Antonio, TXUnited States - Texas - San AntonioGilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need.
With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world.
Gilead's therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions.Job DescriptionThe Sr. Field Reimbursement Manager - HIV Prevention (Sr. FRM) plays a critical role in enhancing patient access to Gilead's HIV treatments by supporting healthcare providers (HCPs), patients, and stakeholders in navigating the complexities of the healthcare system.
The Sr. FRM HIV Prevention will provide in-person and virtual training on access and reimbursement topics, including Gilead support programs, payer policies, prior authorization processes, and claims submissions, ensuring that HCPs and their staff have the necessary tools to facilitate patient access.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.
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 San Antonio, TX 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, 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.Collaborate 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.Demonstrate open-mindedness and flexibility, guiding the team to adapt to different environments and practices.Embody a collaborative approach wholly dedicated to ensuring individual patient access and positive outcomes through teamwork.Basic Qualifications:Bachelor's Degree and Eight Years' ExperienceORMasters' Degree and Six Years' ExperienceORPh.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.This is a field-based role where in-person meetings with key stakeholders are crucial to success.Salary and Benefits:The salary range for this position is: $150,535.00 - $194,810.00.
Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location.
This position may also be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives, paid time off, and a benefits package.For additional benefits information, visit: https://www.gilead.com/careers/compensation-benefits-and-wellbeingGilead Sciences Inc. is committed to a diverse workforce.
Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job related characteristics.#J-18808-Ljbffr