Field Reimbursement Manager Jobs

About The Position

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.

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