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 .

Posted 10/30/2026full-timeRemote • New York • United StatesSenior💰 $153,935 - $199,210 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing strategic business relationships and managing complex provider accounts within the pharmaceutical industry, with a strong focus on reimbursement processes and patient access. Proven ability to influence stakeholders and optimize scalable access solutions across health systems and specialty pharmacies.

Highest-signal resume keywords

Strategic Account ManagementReimbursement ExpertisePatient Access FacilitationStakeholder EngagementPharmaceutical Industry Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement PathwaysBenefit VerificationPrior AuthorizationClaims ManagementPatient ServicesMarket AccessPharmacy BenefitsAcquisition ModelsImplementation PlanningSystemic Issue Resolution

Soft Skills

Influencing Without AuthorityExecutive PresenceTeam EmpowermentCross-Functional CollaborationCommunication Skills

Tools & Technologies

HUB ServicesPatient Support ProgramsTechnology ToolsInsights UtilizationEducation Delivery Measurement

Industry Keywords

Health SystemsIDNsSpecialty PharmaciesNational AccountsMedicareMedicaidPayer PolicyLocal Policy ChangesAccount WorkflowsField Reimbursement

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
Facilitate patient access to Gilead’s HIV Prevention products
Serve as an enterprise-level reimbursement and access expert
Use influence mapping to identify executive, pharmacy, billing, implementation, provider, and operational stakeholders
Lead coordinated, cross-regional account strategies
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 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 cross-functional partners
Identify patient-journey bottlenecks and use technology tools, insights, and escalation pathways to address high-need account situations
Measure education delivery, implementation success, systemic issue resolution, improved 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 Eight Years’ Experience OR Master's Degree and Six Years’ Experience OR Ph.D.
Experience working for a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or related roles
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
Deep understanding of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access
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 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
This is a field-based role requiring in-person meetings with key stakeholders

Benefits

Comp & perks

Discretionary annual bonus
Discretionary stock-based long-term incentives
Paid time off
Company-sponsored medical insurance
Company-sponsored dental insurance
Company-sponsored vision insurance
Company-sponsored life insurance