Senior Field Reimbursement Manager - Liver - MidWest
About The Position
The Senior Field Reimbursement Manager – Liver is a field-based reimbursement and market access expert responsible for supporting patient access to Gilead products across the Midwest region, including Detroit, Columbus, and Indianapolis. The role monitors local and national payer policies and acquisition pathways, addresses coverage and reimbursement challenges, and collaborates with Therapeutic Specialists, Marketing, Patient Support, providers, specialty pharmacies, and other stakeholders to help patients begin treatment without unnecessary delays. Candidates must reside within 10 miles of their region’s borders, and the role requires travel 75% of the time. The position also calls for cultural sensitivity, flexibility, and a collaborative, patient-centric 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.
- Must reside within 10 miles of the region’s borders.
- Strong understanding of the relationship 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, and/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.
- 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.
- Open-mindedness and flexibility in adapting to cultural similarities and differences.
- Collaborative, patient-centric approach focused on patient access and positive outcomes.
Nice To Haves
- BA/BS/RN with at least eight 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 at least six 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.
- Experience partnering with specialty pharmacies and HUB services to optimize account-specific workflows and patient access processes.
Responsibilities
- Develop and manage business relationships with key account stakeholders, including providers and specialty pharmacies, to facilitate patient access to Gilead products.
- Serve as a regional reimbursement expert, use influence mapping to identify and engage key customer accounts, and communicate effectively with stakeholders.
- Assist the internal patient support program team in improving hub and FRM processes, including benefit verification and prior authorization education.
- Communicate changes in formulary or reimbursement processes and provide timely account support and education on requirements such as medical exceptions and prior authorization.
- Collaborate with internal and external stakeholders to create instructional resources that help providers and office staff understand reimbursement best practices.
- Coordinate with the Gilead HUB to improve communication between FRMs and case managers and provide efficient account support.
- Identify bottlenecks in the patient journey and use technology tools to respond promptly to high-need cases.
- Adapt to cultural similarities and differences without assigning value, and guide teams to adjust to different environments and practices.
- Keep patient access and positive outcomes at the forefront through collaboration and teamwork.
- Create inclusion, develop employee talent, and empower teams by aligning goals, providing feedback and support, and removing barriers.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
