Associate Director, Area Reimbursement Manager - HIV Prevention - San Diego / Las Vegas

Gilead Sciences•San Diego, CA

5d•Remote

About The Position

Gilead’s mission is to discover, develop, and deliver therapies that improve the lives of patients with life-threatening illnesses worldwide. The Associate Director, Area Reimbursement Manager - HIV Prevention (ARM) is a specialized, priority-account-focused role supporting access and reimbursement optimization across large, complex health systems, IDNs, and national or regional accounts that span multiple geographies and require coordinated access and reimbursement support. Operating above the territory level, the ARM coordinates cross-regional account strategies to improve patient access, streamline reimbursement processes, and enable scalable account-driven access models. The role takes a top-down approach to reimbursement and access enablement, partnering with senior account stakeholders and internal matrix teams to identify and address systemic barriers involving access, reimbursement, long-acting injectable (LAI) operational models, and multi-site implementation. The ARM is an HIV Prevention market access expert who stays informed about local, state, regional, and national payer policies, acquisition pathways, and reimbursement dynamics. The role assesses complex account needs, coordinates education and implementation across sites and geographies, and aligns internal teams to support timely treatment access without unnecessary duplication of effort. This is a remote, field-based role supporting strategic, multi-location, multi-state, multi-region, or national Priority/SWAT accounts. Candidates must reside in or near the assigned geography and be able to travel extensively to engage account stakeholders in person. The position includes people-leader accountabilities for inclusion, talent development, and team empowerment.

Requirements

Bachelor’s degree and 10 years of experience, or a master’s degree and 8 years of experience, or a Ph.D. and 2 years of experience.
Willingness to travel 75% of the time across designated regions and strategic accounts.
Ability to reside in or near the assigned geography and travel extensively for in-person stakeholder meetings.
Ability to influence without authority, align matrixed stakeholders, and translate account-level barriers into scalable process improvements.
Strong executive presence and comfort engaging C-suite and executive leaders, pharmacy directors, revenue-cycle leaders, implementation leaders, and other system stakeholders.
Deep understanding of relationships among payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access.
Demonstrated experience engaging and managing large, complex provider accounts, multi-location health systems, IDNs, national or regional accounts, or accounts spanning multiple states or regions.
Familiarity with pharmacy and medical benefits, specialty payer landscapes, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments.
Understanding of local, state, and national policy changes and their effects on reimbursement, coverage, acquisition, and account workflows.
Experience partnering with specialty pharmacies and HUB services to support account-specific workflow optimization and patient access processes.

Nice To Haves

BA/BS/RN with 10 or more years of experience at a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or a related team.
MA/MS with 8 or more years of experience at a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or a related role.
Prior leadership, enterprise account, IDN/health system, or cross-functional account strategy experience.

Responsibilities

Develop and manage strategic relationships with stakeholders across large health systems, IDNs, specialty pharmacies, national or regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead HIV Prevention products.
Serve as an enterprise-level reimbursement and access expert, using influence mapping to identify executive, pharmacy, billing, implementation, provider, and operational stakeholders across complex organizations.
Lead coordinated cross-regional account strategies that reduce duplicated effort, clarify roles across local FRMs and matrix partners, and provide consistent support across multi-site accounts.
Assess systemic access and reimbursement barriers across multiple sites, including benefit verification, prior authorization, medical exception, claims, acquisition, specialty pharmacy, and LAI operational workflows.
Partner with senior account stakeholders and internal matrix teams to establish, optimize, and support scalable reimbursement processes aligned with account operating models.
Support the internal patient support program team in improving HUB and FRM processes, including education on prior authorizations, benefit verification, case-management handoffs, and account-specific workflow optimization.
Communicate changes in formulary, coverage, payer policy, or reimbursement processes for Gilead products, and provide strategic accounts timely education and support on requirements such as prior authorization and medical exception pathways.
Create and deploy instructional resources, account implementation plans, and best-practice education to help providers, office staff, billing and revenue-cycle teams, and implementation stakeholders understand reimbursement processes at scale.
Increase coordination among FRMs, Long-Acting Implementation Directors, Strategic Account Managers, Prevention Specialists, Market Access, the Gilead HUB, Marketing, Patient Support, and other cross-functional partners.
Identify bottlenecks in the patient journey that hinder initial or ongoing access, and use appropriate technology tools, insights, and escalation pathways to address high-need account situations.
Measure success through education delivery, implementation success, systemic issue and process resolution, improved coordination, and scalable access and reimbursement support across strategic accounts.
Demonstrate cultural sensitivity by remaining open-minded and flexible, recognizing cultural similarities and differences without assigning value, and adapting support to account environments and practices without being overly prescriptive.
Maintain a collaborative, patient-centric approach focused on patient access and positive outcomes through teamwork.
Create inclusion by modeling inclusive leadership and embedding the value of diversity in team management.
Develop talent by understanding employees’ skills, experience, aspirations, and potential; coaching them on performance and future potential; and ensuring they receive feedback and insight to grow.
Empower teams by aligning goals, purpose, and organizational objectives, holding the team accountable, removing barriers, and connecting the team to the broader organization.