Sr Field Reimbursement Manager HIV Prevention Cincinnati OH
Sr Field Reimbursement Manager HIV Prevention Cincinnati OH
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$ 153935 - 199210
1 Vacancy
Job Description
At Gilead were creating a healthier world for all people. For more than 35 years weve tackled diseases such as HIV viral hepatitis COVID19 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 worlds biggest health challenges and our mission requires collaboration determination and a relentless drive to make a difference.
Every member of Gileads team plays a critical role in the discovery and development of lifechanging scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions and were 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
Gileads mission is to discover develop and deliver therapies that will improve the lives of patients with lifethreatening illnesses worldwide. The Sr. Field Reimbursement Manager HIV Prevention Sr. FRM) plays a critical role in enhancing patient access to Gileads HIV treatments by supporting healthcare providers (HCPs) patients and stakeholders in navigating the complexities of the healthcare system. The Sr. FRM HIV Prevention will provide inperson and virtual training on access and reimbursement topics including Gilead support programs payer policies prior authorization processes and claims submissions ensuring that HCPs and their staff have the necessary tools to facilitate patient access.
As an expert in HIV Prevention market access the 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 including Therapeutic Specialists (Sales) Marketing Account Management and Patient Support will be essential for aligning patient access strategies across the organization. The Sr. FRM HIV Prevention will also engage in problemsolving to manage multiple projects and continuously identify opportunities for improving workflows ultimately helping patients receive the necessary treatments without unnecessary delays.
This is a fieldbasedrole supporting the Cincinnati OH area; candidatesmust be able to travel 50 of the time with overnights included and reside within 10 miles of their regions 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 Gileads 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.
Excel at collaborating with crossfunctional 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 highneed cases.
Demonstrates openmindedness and flexibility being aware of cultural similarities and differences without assigning value guiding theteam to adapt to different environments and practices without being overly prescriptive.
Embodies a collaborative approach wholly dedicated to ensuring individual patient access and positive outcomes through teamwork placing the individual who may need or benefit from PrEP and team success at the forefront.
Basic Qualifications:
Bachelors Degree and Eight Years Experience
OR
Masters Degree and Six Years Experience
OR
Ph.D.
Preferred Qualifications:
BA/BS/RN with 8 years of experience working for a major pharmaceutical organization on the field reimbursement team.
MA/MS/PharmD with 6 years of experience working for a major pharmaceutical organization on the field reimbursement team.
Prior leadership experience is strongly preferred.
Deep understanding of the relationship between payers providers and pharma companies in reimbursement.
Experience engaging with and managing large complex provider accounts.
Familiarity with pharmacy benefits specialty payer landscape and reimbursement pathways (commercial Medicare Medicaid).
An understanding of local and state policy changes effect on reimbursement policies.
Preferably have experience with specialty pharmacies and utilizing a HUB service
A willingness to travel 75 of the time across designated regions.
This is a fieldbased role where inperson meetings with key stakeholders are crucial to success.
For additional benefits information visit:
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Gilead Sciences Inc. is committed to providing equal employment opportunities to all employees and applicants for employment and is dedicated to fostering an inclusive work environment comprised of diverse perspectives backgrounds and experiences. Employment decisions regarding recruitment and selection will be made without discrimination based on race color religion national origin sex age sexual orientation physical or mental disabilitygenetic information or characteristic gender identity and expression veteran status or other nonjob related characteristics or other prohibited grounds specified in applicable federal state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Era Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact for assistance.
For more information about equal employment opportunity protections please view theKnow Your Rights poster.
NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.
Gilead provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
For Current Gilead Employees and Contractors:
Please apply via the Internal Career Opportunities portal in Workday.
Required Experience:
Manager
Employment Type
Full-Time
