Director, Field Reimbursement Management - HIV Prevention - West

Gilead Sciences•Los Angeles, CA

18h•Remote

About The Position

Gilead's mission is to discover, develop, and deliver therapies that will improve the lives of patients with life-threatening illnesses worldwide. As the Director, Field Reimbursement Management (FRM) – West for HIV Prevention, you will be pivotal in ensuring patient access to our groundbreaking therapies by leading a nationwide team Field Reimbursement Managers (FRMs). The position is a remote/field-based role that reports to the Sr. Director, National Field Reimbursement Management - HIV Prevention. It leads a team of FRMs and covers the West region.

Requirements

Bachelor's Degree and Twelve Years’ Experience OR Master's Degree and Ten Years Experience OR PhD and Eight Years Experience
BA/BS/RN with 12 years of experience working for a major pharmaceutical organization on the field reimbursement team
MA/MS/PharmD with 10 years of experience working for a major pharmaceutical organization on the field reimbursement team.
Proven track record of building and leading high-performing teams in dynamic environments; strong ability to inspire, motivate, and develop team members.
In-depth understanding of healthcare policies, insurance regulations, and reimbursement practices, particularly within the specialty pharmacy and biotechnology sectors.
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
Preferably have experience in multiple buying models, including buy & build
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

Responsibilities

Provide strong leadership to the Field Reimbursement team, fostering a culture of excellence and collaboration that is dedicated to ensuring patient access. Champion Gilead's Archivado's mission in all interactions and decisions.
Collaborate with cross-functional teams, prioritizing team success and patient access over individual recognition and fostering cross-functional collaboration to ensure access and reimbursement strategies align with broader business objectives.
Demonstrates open-mindedness and flexibility, being aware of cultural similarities and differences without assigning value, guiding the team to adapt to different environments and practices without being overly prescriptive.
Lead the recruitment, training, mentorship, and professional development of FRMs, enhancing their capabilities in navigating complex reimbursement challenges and advocating for patients effectively.
Cultivate a high-performance team environment that emphasizes patient-centricity, compliance, operational efficiency, empowerment with accountability, and continuous improvement.
Serve as a recognized subject matter expert on access and reimbursement policies and practices, providing strategic guidance and support to internal and external stakeholders to drive successful reimbursement outcomes.
Translate complex scenarios into simple terms and can train and coach the team to assist the offices collaboratively while instilling confidence in the process.
Maintain in-depth knowledge of evolving healthcare policies, insurance regulations, and market trends, proactively identifying challenges and opportunities in the reimbursement landscape to inform strategic decisions.
Build and maintain strong relationships with key stakeholders, including healthcare providers and office staff handling patient access and reimbursement issues, ensuring effective collaboration and advocacy for patient access.
Analyze complex data and metrics to identify trends, opportunities, and areas for improvement in patient access and reimbursement processes. Provide regular, insightful updates to senior management on the performance and impact of access & reimbursement initiatives.
Create Inclusion - knowing the business value of diverse teams, modeling inclusion, and embedding the value of diversity in the way they manage their teams.
Develop Talent - understand the skills, experience, aspirations, and potential of their employees and coach them on current performance and future potential. They ensure employees are receiving the feedback and insight needed to grow, develop, and realize their purpose.
Empower Teams - connect the team to the organization by aligning goals, purpose, and organizational objectives and holding them to account. They provide the support needed to remove barriers and connect their team to the broader ecosystem.