Gilead Sciences, Inc.
Senior Field Reimbursement Manager - Midwest
Gilead Sciences, Inc., Kansas City, Kansas, United States, 66115
Senior Field Reimbursement Manager - Midwest
United States - Missouri - Saint Louis, United States - Kansas - Kansas City Commercial/Sales Operations Regular 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 relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest 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. 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
Sr. FRM – HIV Prevention
will remain 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 (Therapeutic Specialists, Marketing, Account Management, and Patient Support) will be essential for aligning patient access strategies across the organization. The role involves problem-solving to manage multiple projects and identify opportunities for improving workflows to help patients receive the necessary treatments without unnecessary delays. This is a field-based role supporting the Midwest (KS, MO, AR, OK) area:
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. Collaborate 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. Demonstrate open-mindedness and flexibility in working with diverse environments and practices, guiding the team to adapt without being overly prescriptive. Place the individual patient and positive outcomes at the forefront, collaborating to ensure access to therapies such as PrEP where applicable. Basic Qualifications
Bachelor’s Degree and eight years of experience OR Master’s Degree and six years of experience OR Ph.D. Preferred Qualifications
BA/BS/RN with 8+ years of experience in field reimbursement at a major pharmaceutical organization. MA/MS/PharmD with 6+ years of experience in field reimbursement at a major pharmaceutical organization. Prior leadership experience is strongly preferred. Deep understanding of payer-provider-pharma relationships in reimbursement. Experience engaging with and managing large, complex provider accounts. Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). Understanding of how local and state policy changes affect reimbursement policies. Experience with specialty pharmacies and HUB services is preferred. A willingness to travel 75% of the time across designated regions. This is a field-based role with in-person stakeholder engagement crucial to success. Compensation and Benefits : The salary range for this position is $153,935.00 - $199,210.00. Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. This role may be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary), paid time off, and a comprehensive 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, visit the compensation, benefits and wellbeing page. https://www.gilead.com/careers/compensation-benefits-and-wellbeing EEO notice
Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants and fostering an inclusive work environment. Employment decisions are made without discrimination based on characteristics protected by applicable laws. If accommodation is needed, applicants may contact ApplicantAccommodations@gilead.com for assistance. For more information, view the Know Your Rights poster. Gilead values diversity and forbids harassment or discrimination. Our environment respects individual differences and supports an inclusive culture. Additional
For current Gilead employees and contractors: please apply via the Internal Career Opportunities portal in Workday. Job Requisition ID R0047538. Full-Time. Remote Type: Field-Based.
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United States - Missouri - Saint Louis, United States - Kansas - Kansas City Commercial/Sales Operations Regular 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 relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest 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. 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
Sr. FRM – HIV Prevention
will remain 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 (Therapeutic Specialists, Marketing, Account Management, and Patient Support) will be essential for aligning patient access strategies across the organization. The role involves problem-solving to manage multiple projects and identify opportunities for improving workflows to help patients receive the necessary treatments without unnecessary delays. This is a field-based role supporting the Midwest (KS, MO, AR, OK) area:
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. Collaborate 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. Demonstrate open-mindedness and flexibility in working with diverse environments and practices, guiding the team to adapt without being overly prescriptive. Place the individual patient and positive outcomes at the forefront, collaborating to ensure access to therapies such as PrEP where applicable. Basic Qualifications
Bachelor’s Degree and eight years of experience OR Master’s Degree and six years of experience OR Ph.D. Preferred Qualifications
BA/BS/RN with 8+ years of experience in field reimbursement at a major pharmaceutical organization. MA/MS/PharmD with 6+ years of experience in field reimbursement at a major pharmaceutical organization. Prior leadership experience is strongly preferred. Deep understanding of payer-provider-pharma relationships in reimbursement. Experience engaging with and managing large, complex provider accounts. Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). Understanding of how local and state policy changes affect reimbursement policies. Experience with specialty pharmacies and HUB services is preferred. A willingness to travel 75% of the time across designated regions. This is a field-based role with in-person stakeholder engagement crucial to success. Compensation and Benefits : The salary range for this position is $153,935.00 - $199,210.00. Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location. This role may be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary), paid time off, and a comprehensive 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, visit the compensation, benefits and wellbeing page. https://www.gilead.com/careers/compensation-benefits-and-wellbeing EEO notice
Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants and fostering an inclusive work environment. Employment decisions are made without discrimination based on characteristics protected by applicable laws. If accommodation is needed, applicants may contact ApplicantAccommodations@gilead.com for assistance. For more information, view the Know Your Rights poster. Gilead values diversity and forbids harassment or discrimination. Our environment respects individual differences and supports an inclusive culture. Additional
For current Gilead employees and contractors: please apply via the Internal Career Opportunities portal in Workday. Job Requisition ID R0047538. Full-Time. Remote Type: Field-Based.
#J-18808-Ljbffr