Associate Director, Area Reimbursement Manager – HIV Prevention

Gilead Sciences

. Develop and manage strategic business relationships with key stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts .

Posted 11/6/2026full-timeUnited StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reimbursement and access strategies within large health systems and specialty pharmacies, leveraging strong stakeholder engagement and leadership skills to optimize processes and address systemic barriers. Proven ability to influence cross-functional teams and implement scalable solutions in complex healthcare environments.

Highest-signal resume keywords

Reimbursement ExpertiseStakeholder EngagementAccount Strategy LeadershipPharmacy Benefits KnowledgeCross-Functional Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement PathwaysBenefit VerificationPrior AuthorizationClaims ManagementAccess Barriers AssessmentImplementation PlanningPatient Journey AnalysisEducation Delivery MeasurementMatrix Team CoordinationProcess Improvement

Soft Skills

Influencing Without AuthorityExecutive PresenceTeam EmpowermentCommunication SkillsProblem-Solving

Tools & Technologies

HUB ServicesPatient Support ProgramsInsights TechnologyEscalation PathwaysImplementation Resources

Industry Keywords

Health SystemsSpecialty PharmaciesIDNsPayer LandscapePharmaceutical CompaniesMedicareMedicaidNational Policy ChangesMulti-Location AccountsStrategic Accounts

About the role

Key responsibilities & impact

Develop and manage strategic business relationships with key stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts
Serve as an enterprise-level reimbursement and access expert using influence mapping
Lead coordinated, cross-regional account strategies across multi-site accounts
Assess systemic access and reimbursement barriers, including benefit verification, prior authorization, medical exception, claims, acquisition, specialty pharmacy, and LAI workflows
Partner with senior account stakeholders and internal matrix teams to establish and optimize scalable reimbursement processes
Support the internal patient support program team in enhancing HUB and FRM processes
Communicate formulary, coverage, payer policy, and reimbursement-process changes
Create and deploy instructional resources, account implementation plans, and best-practice education
Coordinate FRMs, Long-Acting Implementation Directors, Strategic Account Managers, Prevention Specialists, Market Access, the Gilead HUB, Marketing, Patient Support, and other partners
Identify patient-journey bottlenecks and use technology, insights, and escalation pathways to address high-need account situations
Measure education delivery, implementation success, systemic issue resolution, coordination, and scalable access/reimbursement support
Create inclusion, develop talent, and empower teams as a people leader

Requirements

What you’ll need

Bachelor's Degree and Ten Years’ Experience, OR Master's Degree and Eight Years’ Experience, OR Ph.D. and Two Years' Experience
Candidates must reside in or near the assigned geography
Ability to travel extensively; willingness to travel 75% of the time across designated regions and strategic accounts
Deep understanding of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access
Experience engaging with and managing large, complex provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or accounts spanning multiple states or regions
Familiarity with pharmacy benefits, medical benefits, specialty payer landscape, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments
Understanding of local, state, and national policy changes and their effect on reimbursement, coverage, acquisition, and account workflows
Experience partnering with specialty pharmacies and HUB services
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
Prior leadership, enterprise account, IDN/health system, or cross-functional account strategy experience strongly preferred
BA/BS/RN with 10+ years of experience working for a major pharmaceutical organization in a related function preferred
MA/MS with 8+ years of experience working for a major pharmaceutical organization in a related function preferred

Benefits

Comp & perks

Equal employment opportunity and inclusive work environment
Reasonable accommodation during the application process
Work environment free of harassment and prohibited conduct
Diversity and inclusion initiatives
Employee development, coaching, and feedback as part of people-leader practices