Senior Field Reimbursement Manager- HIV Prevention - Georgia

Gilead Sciences•Atlanta, GA

12d•$153,935 - $199,210•Remote

About The Position

Gilead’s Senior Field Reimbursement Manager – HIV Prevention is a specialized, priority-account-focused role supporting access and reimbursement optimization across large, complex health systems, integrated delivery networks (IDNs), and national or regional accounts spanning multiple geographies. This remote, field-based role supports strategic, multi-location accounts and requires candidates to reside in or near the assigned geography and travel extensively for in-person engagement with account stakeholders. The role develops strategic account relationships and provides enterprise-level reimbursement and access expertise. It coordinates cross-regional account strategies, identifies systemic access barriers, and partners with account stakeholders and internal teams to build scalable reimbursement processes. The manager also supports patient-support workflows, educates account teams on coverage and reimbursement changes, creates instructional resources and implementation plans, and works across functions to improve account execution and patient access. The role emphasizes cultural sensitivity and a collaborative, patient-centered approach. People Leader accountabilities include creating inclusion, developing talent, and empowering teams.

Requirements

Bachelor’s degree and eight years of experience, or a master’s degree and six years of experience, or a Ph.D.
Willingness to travel 75% of the time across designated regions and strategic accounts.
Ability to engage in person with key account stakeholders; this is a field-based role.

Nice To Haves

BA/BS/RN with 8+ years of experience at a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or a related team.
MA/MS/PharmD with 6+ 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.
Deep understanding of relationships among payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access.
Demonstrated experience 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 optimize account-specific workflows and patient-access processes.
Ability to influence without authority, align matrixed stakeholders, and translate account barriers into scalable process improvements.
Strong executive presence and comfort engaging C-suite and executive leaders, pharmacy directors, revenue-cycle leaders, implementation leaders, and system stakeholders.

Responsibilities

Develop and manage strategic relationships with stakeholders at health systems, IDNs, specialty pharmacies, national and 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.
Lead coordinated cross-regional account strategies that reduce duplicated effort, clarify responsibilities across local FRMs and matrix partners, and support consistent service across multi-site accounts.
Assess systemic access and reimbursement barriers across sites, including benefit verification, prior authorization, medical exceptions, claims, acquisition, specialty pharmacy, and long-acting injectable (LAI) operational workflows.
Partner with senior account stakeholders and internal matrix teams to establish, optimize, and support reimbursement processes suited to account operating models.
Support the internal patient support program team in enhancing 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, and reimbursement processes, and provide timely education and support to strategic accounts on requirements such as prior authorization and medical exception pathways.
Create and deploy instructional resources, account implementation plans, and best-practice education for providers, office staff, billing and revenue-cycle teams, and implementation stakeholders.
Improve 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 patient-journey bottlenecks that hinder initial or ongoing access and use 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.
Demonstrate cultural sensitivity by adapting support to different account environments and practices without being overly prescriptive.
Maintain a collaborative, patient-centered approach focused on patient access and positive outcomes.
As a people leader, create inclusion, develop talent through coaching and feedback, and empower teams by aligning goals and removing barriers.