Senior Field Reimbursement Manager - Liver - South TX/ Louisiana
About The Position
The Senior Field Reimbursement Manager – Liver is a field-based regional reimbursement expert responsible for addressing coverage and reimbursement challenges so patients can access Gilead therapies without unnecessary delays. The role covers South Texas and Louisiana, including Houston, Louisiana, and Mobile, Alabama; candidates must reside within 10 miles of their region’s borders. The position requires in-person engagement with key stakeholders and travel 75% of the time across designated regions and strategic accounts. The manager develops relationships with providers, specialty pharmacies, and other account stakeholders; monitors payer policies and acquisition pathways; and communicates changes in formulary and reimbursement processes. The role collaborates with internal Therapeutic Specialists, Marketing, Patient Support, the Gilead HUB, and external stakeholders to improve patient access workflows, benefit verification, prior authorization education, and coordination between field reimbursement managers and case managers. It also identifies bottlenecks in the patient journey and opportunities to improve processes using technology. The role calls for cultural sensitivity, flexibility across different environments and practices, 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 master’s degree and six years of experience; or Ph.D.
- Willingness to travel 75% of the time across designated regions and strategic accounts.
- Ability to attend in-person meetings with key stakeholders.
- Demonstrated open-mindedness and flexibility when working across cultural similarities and differences.
- Collaborative, patient-centric approach focused on patient access and positive outcomes.
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 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 payers, 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 on account-specific workflow optimization and patient access processes.
- Ability to influence without authority, align matrixed stakeholders, and translate account-level barriers into scalable process improvements.
- Executive presence and comfort engaging C-suite leaders, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders.
Responsibilities
- Develop and manage relationships with provider, specialty pharmacy, and other key account stakeholders to facilitate patient access to Gilead products.
- Serve as a regional reimbursement expert, use influence mapping to identify key accounts, and engage and communicate with appropriate stakeholders.
- Work with the internal patient support program team to improve hub and field reimbursement processes, including benefit verification and prior authorization education.
- Communicate changes in Gilead product formularies and reimbursement processes, providing accounts with timely support and education on requirements such as medical exceptions and prior authorization.
- Collaborate with internal and external stakeholders to create instructional resources on reimbursement best practices for providers and office staff.
- Coordinate with the Gilead HUB to improve communications between field reimbursement managers and case managers and support accounts efficiently.
- 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, helping teams respond flexibly to different environments and practices.
- Keep patient access and positive outcomes central through collaboration and teamwork.
- Create inclusion, develop employees’ skills and potential through coaching and feedback, and empower teams by aligning goals and removing barriers.
Benefits
- Paid time off
- Company-sponsored medical insurance
- Company-sponsored dental insurance
- Company-sponsored vision insurance
- Company-sponsored life insurance
- May be eligible for a discretionary annual bonus
- May be eligible for discretionary stock-based long-term incentives
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What This Job Offers
Job Type
Full-time
Career Level
Senior
