Senior Field Reimbursement Manager- HIV Prevention - Manhattan NY

Gilead Sciences•New York, NY

11d•$153,935 - $199,210•Remote

About The Position

The Senior Field Reimbursement Manager – HIV Prevention is a specialized, priority-account-focused role supporting access and reimbursement optimization across large, complex health systems, IDNs, and national or regional accounts spanning multiple geographies. This remote, field-based role supports strategic multi-location, multi-state, multi-region, or national Priority/SWAT accounts. Candidates must live in or near the assigned geography and be able to travel extensively to engage stakeholders in person. The role develops strategic account relationships, provides enterprise-level reimbursement and access expertise, assesses systemic barriers, and coordinates scalable account strategies with internal and external stakeholders. Success is measured through education delivery, implementation success, resolution of systemic issues, improved coordination, and scalable access and reimbursement support. The role calls for cultural sensitivity and a patient-centric, collaborative approach.

Requirements

Bachelor's degree and eight years of experience, or a master's degree and six years of experience, or a Ph.D.
Must reside in or near the assigned geography.
Willingness to travel 75% of the time across designated regions and strategic accounts.
Ability to engage key stakeholders in person.
Demonstrated cultural sensitivity, flexibility, and a collaborative, patient-centric approach.

Nice To Haves

BA/BS/RN and 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 and 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.
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 optimize account-specific workflows and patient access processes.
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 or executive leadership, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders.

Responsibilities

Develop and manage strategic business relationships with key stakeholders at large 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 roles across local FRMs and matrix partners, and provide consistent support across multi-site accounts.
Assess systemic access and reimbursement barriers across sites, including benefit verification, prior authorization, medical exceptions, 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 prior authorization education, benefit verification, case management handoffs, and account-specific workflow optimization.
Communicate changes in formulary, coverage, payer policy, or reimbursement processes 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 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 bottlenecks in the patient journey and use technology tools, insights, and escalation pathways to address high-need account situations.
Measure outcomes through education delivery, implementation success, systemic issue and process resolution, improved coordination, and scalable access and reimbursement support.
Adapt support to varied account environments and practices with cultural sensitivity and without being overly prescriptive.
Maintain a collaborative, patient-centric focus on patient access and positive outcomes.