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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 .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reimbursement and access strategies within the pharmaceutical industry, with a strong focus on managing complex provider accounts and optimizing patient access processes. Proven ability to lead cross-functional teams and influence stakeholders to drive scalable improvements in account management.
Highest-signal resume keywords
Reimbursement ExpertiseAccount ManagementCross-Functional LeadershipStakeholder EngagementMarket Access Strategy
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Reimbursement PathwaysBenefit VerificationPrior AuthorizationClaims ManagementPatient ServicesPharmacy BenefitsMedical BenefitsAccess OptimizationAccount ImplementationWorkflow Assessment
Soft Skills
Influencing Without AuthorityExecutive PresenceTeam EmpowermentCommunication SkillsProblem Solving
Tools & Technologies
HUB ServicesPatient Support ProgramsTechnology ToolsInsights AnalysisEscalation Pathways
Industry Keywords
Pharmaceutical IndustryHealth SystemsIDNsSpecialty PharmaciesPayer PolicyMarket AccessPatient AccessMulti-Site AccountsNational/Regional AccountsPolicy Changes
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
- 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 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 and optimize scalable reimbursement processes
- Support the internal patient support program team in enhancing HUB and FRM processes
- Communicate changes in formulary, coverage, payer policy, and reimbursement processes
- Create 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, 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 a related role
- Prior leadership, enterprise account, IDN/health system, or cross-functional account strategy experience strongly preferred
- 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 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
- Ability to travel extensively and attend in-person stakeholder meetings
Benefits
Comp & perks- Discretionary annual bonus eligibility
- Discretionary stock-based long-term incentives eligibility may vary based on role
- Paid time off
- Company-sponsored medical insurance
- Company-sponsored dental insurance
- Company-sponsored vision insurance
- Company-sponsored life insurance
- Inclusive work environment
- Reasonable accommodation in the job application process