Senior Field Reimbursement Manager - Louisiana/Panhandle FL

Getting Hired; Baton Rouge (LA); On-site; USD 153,000 - 200,000; Full time

Job summary

A major pharmaceutical company seeks a Sr. FRM – HIV Prevention to lead market access strategies in Louisiana. The role involves fostering relationships with providers, managing patient access to treatments, and addressing reimbursement challenges. Candidates should have extensive experience in the healthcare field, a strong understanding of reimbursement policies, and the ability to travel frequently. Competitive salary and comprehensive benefits are offered.

Benefits

Health insurance

Annual bonus

Paid time off

Qualifications

• 8+ years of experience in the pharmaceutical field.
• Strong understanding of reimbursement processes.
• Experience managing complex provider accounts.

Responsibilities

• Develop business relationships to facilitate patient access.
• Serve as an access and reimbursement expert.
• Manage multiple projects related to patient access.

Skills

HIV prevention knowledge

Collaboration skills

Problem-solving skills

Knowledge of reimbursement policies

Education

Bachelor's Degree

Master’s Degree

Ph.D.

Job description

Overview

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight big health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together.

Job Description

As an expert in HIV Prevention market access, the Sr. FRM – HIV Prevention will stay informed about local and national payer policies and acquisition pathways, proactively addressing coverage and reimbursement challenges to ensure timely treatment access. Collaboration with internal teams, including Therapeutic Specialists (Sales), Marketing, Account Management, and Patient Support, will be essential for aligning patient access strategies across the organization. The Sr. FRM – HIV Prevention will engage in problem-solving to manage multiple projects and continuously identify opportunities for improving workflows, ultimately helping patients receive the necessary treatments without unnecessary delays.

This is a field-based role supporting the Louisiana area (LA, MS, Panhandle FL): candidates must be able to travel 50% of the time with overnights included and reside within 10 miles of their region’s borders.

Specific job responsibilities:

• Develop and manage business relationships with office staff at key accounts, including providers and specialty pharmacies, to facilitate patient access to Gilead’s products.
• Serve as a local access and reimbursement expert, on access and reimbursement policies, processes, and practices, providing strategic education and support to internal and external stakeholders to drive successful access and reimbursement outcomes.
• Assist the internal patient support program team in enhancing hub and FRM processes, such as streamlining benefit verification and improving education on prior authorizations to expedite patient treatment initiation. Oversee processes for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely manner.
• Communicate changes in formulary or reimbursement processes for Gilead products, ensuring accounts receive timely support and education on requirements like medical exceptions and prior authorization.
• Excel at collaborating with cross-functional internal and external stakeholders to create instructional resources that help providers and office staff understand best practices in reimbursement processes.
• Increase coordination with the Gilead HUB to enhance communication channels between FRMs and case managers, providing efficient support to accounts.
• Identify bottlenecks in the prescription journey that hinder therapy application and utilize technology tools to respond promptly to high-need cases.
• Demonstrates open-mindedness and flexibility, being aware of cultural similarities and differences without assigning value, guiding the team to adapt to different environments and practices without being overly prescriptive.
• Embodies a collaborative approach dedicated to ensuring individual patient access and positive outcomes through teamwork, placing the patient who may need or benefit from PrEP and team success at the forefront.

Basic Qualifications:

• Bachelor's Degree and Eight Years’ Experience OR
• Master’s Degree and Six Years’ Experience OR
• Ph.D.

Preferred Qualifications:

• BA/BS/RN with 8+ years of experience working for a major pharmaceutical organization on the field reimbursement team.
• MA/MS/PharmD with 6+ years of experience working for a major pharmaceutical organization on the field reimbursement team.
• Prior leadership experience is strongly preferred.
• Deep understanding of the relationship between payers, providers, and pharma companies in reimbursement.
• Experience engaging with and managing large, complex provider accounts.
• Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid).
• An understanding of local and state policy changes' effect on reimbursement policies.
• Preferably experience with specialty pharmacies and utilizing a HUB service.
• A willingness to travel 75% of the time across designated regions.
• This is a field-based role where in-person meetings with key stakeholders are crucial to success.

Salary range: $153,935.00 - $199,210.00. Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. Compensation may include a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary), paid time off, and a benefits package. Benefits include company-sponsored medical, dental, vision, and life insurance plans. Eligible employees may participate in benefit plans, subject to plan terms.

For more information about benefits, visit the compensation, benefits and wellbeing page. Eligible employees may participate in benefit plans, subject to the terms and conditions of the applicable plans.

Gilead Sciences Inc. is committed to equal employment opportunities and fostering an inclusive work environment. Employment decisions will be made without discrimination based on race, color, religion, national origin, sex, age, sexual orientation, disability, genetic information or protected characteristics. Applicants who require accommodation may contact ApplicantAccommodations at Gilead.com for assistance.

Our environment respects individual differences and celebrates the individuals who make up our growing team. Gilead provides a work environment free of harassment and supports diversity of thought and opinion.

Current Gilead Employees and Contractors: Please apply via the Internal Career Opportunities portal in Workday.