Senior Field Reimbursement Manager - HIV Prevention - Dallas, TX

Gilead Sciences•Dallas, TX

1d•$153,935 - $199,210•Remote

About The Position

The Senior Field Reimbursement Manager – HIV Prevention is a highly specialized, priority account-focused role responsible for supporting access and reimbursement optimization across large, complex health systems, IDNs, and national or regional accounts that span multiple geographies and require additional coordination and support. This remote/field-based role supports 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 for in-person engagement with account stakeholders. The role develops enterprise-level reimbursement and access strategies, identifies and addresses systemic barriers across account sites, and partners with account stakeholders and internal teams to build scalable reimbursement processes. It also helps enhance patient support and HUB processes, educates stakeholders on coverage and reimbursement requirements, and coordinates cross-functional resources to improve patient access to Gilead’s HIV Prevention products. Success is measured through education delivery, implementation success, systemic process resolution, improved coordination, and scalable access and reimbursement support. The position calls for cultural sensitivity and a patient-centric, collaborative approach. People Leader accountabilities described in the posting 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 key stakeholders in person; this is a field-based role.
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 leadership, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders.
Cultural sensitivity and flexibility in adapting support to varying account environments.
Collaborative, patient-centric approach.

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.

Responsibilities

Develop and manage strategic business relationships with stakeholders across large health systems, IDNs, specialty pharmacies, national and regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead’s 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 among local FRMs and matrix partners, and support consistent customer 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 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 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, 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 respond to high-need account situations.
Measure success through education delivery, implementation success, systemic issue and process resolution, improved coordination, and scalable account access and reimbursement support.
Demonstrate cultural sensitivity by adapting support to differing account environments and practices without being overly prescriptive.
Maintain a collaborative, patient-centric focus on access and positive outcomes.
For people leaders: create inclusion, develop talent through coaching and feedback, and empower teams by aligning goals and removing barriers.