Senior Field Reimbursement Manager – HIV Prevention

Gilead Sciences

. Develop and manage strategic business relationships with key account stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead’s HIV Prevention products .

Posted 9/17/2026full-timeIrvine • California • United StatesSenior💰 $153,935 - $199,210 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in strategic account management, reimbursement processes, and patient access within the pharmaceutical industry, with a strong focus on collaboration and stakeholder engagement across health systems and specialty pharmacies.

Highest-signal resume keywords

Strategic Account ManagementReimbursement ExpertisePatient Access ProcessesCross-Functional CollaborationLeadership in Healthcare

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Field ReimbursementMarket AccessPatient ServicesBenefit VerificationPrior AuthorizationClaims ManagementPharmacy BenefitsReimbursement PathwaysWorkflow OptimizationAccount Management

Soft Skills

Influencing Without AuthorityCultural SensitivityPatient-Centric CollaborationExecutive PresenceCommunication Skills

Tools & Technologies

HUB ServicesPatient Support ProgramsImplementation PlansInstructional ResourcesTechnology Tools

Certifications & Qualifications

Bachelor's DegreeMaster's DegreePh.D.

Industry Keywords

Pharmaceutical IndustryHealth SystemsIDNSpecialty PharmaciesPayer LandscapeMedicareMedicaidNational/Regional AccountsPatient JourneyAccess Barriers

About the role

Key responsibilities & impact

Develop and manage strategic business relationships with key account stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead’s 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 duplication, improve role clarity, and enable consistent customer support across multi-site accounts
Assess systemic access and reimbursement barriers, including benefit verification, prior authorization, medical exception, claims, acquisition, specialty pharmacy, and LAI operational workflows
Partner with senior account stakeholders and internal matrix teams to establish, optimize, and support scalable reimbursement processes
Support the internal patient support program team in enhancing HUB and FRM processes, including prior authorizations, benefit verification, case management handoffs, and account-specific workflow optimization
Communicate formulary, coverage, payer policy, and reimbursement-process changes and provide strategic accounts with timely education and support
Create and deploy instructional resources, account implementation plans, and best-practice education for providers, office staff, billing teams, revenue cycle teams, and implementation stakeholders
Coordinate FRMs, Long-Acting Implementation Directors, Strategic Account Managers, Prevention Specialists, Market Access, Gilead HUB, Marketing, Patient Support, and other cross-functional partners
Identify patient-journey bottlenecks and use technology tools, insights, and escalation pathways to address high-need account situations
Measure success through education delivery, implementation success, systemic issue resolution, improved coordination, and scalable access/reimbursement support
Demonstrate cultural sensitivity and patient-centric collaboration
Create inclusion, develop talent, and empower teams as a people leader

Requirements

What you’ll need

Bachelor's Degree and Eight Years’ Experience, or Master's Degree and Six Years’ Experience, or Ph.D.
BA/BS/RN with 8+ years of experience working for a major pharmaceutical organization on a field reimbursement, access, patient services, market access, account management, or related team
MA/MS/PharmD with 6+ years of experience working for a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or related role
Prior leadership, enterprise account, IDN/health system, or cross-functional account strategy experience is strongly preferred
Deep understanding of the relationship between payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access
Demonstrated 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 to support 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
Strong executive presence and comfort engaging C-suite or executive leadership, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders
Willingness to travel 75% of the time across designated regions and strategic accounts
Candidates must reside in or near the assigned geography and be able to travel extensively to engage account stakeholders in person

Benefits

Comp & perks

Discretionary annual bonus eligibility
Discretionary stock-based long-term incentives eligibility
Paid time off
Company-sponsored medical insurance
Company-sponsored dental insurance
Company-sponsored vision insurance
Company-sponsored life insurance
Reasonable accommodation in the job application process