- Eligible employees may participate in benefit plans, subject to the terms and conditions of the applicable plans.
-
Field Reimbursement Manager I&I CHICAGO West
2 weeks ago
Pfizer Remote, United States Full timeAs part of Pfizer North America, this individual will report directly to I&I Access & Reimbursement Regional Director. The Field Reimbursement Colleague will perform their duties under the strategic vision of the Pfizer Business Units' overarching access and reimbursement plan an ...
-
National Account Executive
4 days ago
OpenWorks Myrtle Point, United StatesAbout the Company · Openworks is a dynamic and innovative company that prides itself on fostering a culture of continuous learning and development. With 40 years in business, OpenWorks has earned year-over-year recognition on the Inc. 5000 and Franchise 500 fastest-growing organi ...
-
Boeing Defense Senior Sales Manager
2 days ago
GE Renewable Energy Power and Aviation Myrtle Point, United StatesJob Description Summary · *NO REMOTE OPTION* · The Boeing Defense Senior Sales Manager - Key Accounts will be responsible for the Boeing Defense relationship, in addition to identifying and developing sales/growth opportunities. · In this role, you will create strategies, shape ...
-
Configuration Management Specialist
1 week ago
GE Renewable Energy Power and Aviation Myrtle Point, United StatesJob Description Summary · GE Aviation Systems is hiring a Configuration/Data Management Specialist for the support of configuration/data management and data deliveries to the customer. In this role, you will be responsible for execution in support of site based configuration and ...
-
Associate Accounts Receivable Representative
2 weeks ago
SCA Health Myrtle Point, United StatesAssociate Accounts Receivable Representative · JOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.SHARE.HTMLRemote, United States · Dallas CBO · Billing · Regular · Full-time · 1 · USD $20.00/Hr. · USD $23.00/Hr. · 34271 · Job Description · Overview · Today, SCA Heal ...
-
Manager Strategy
2 weeks ago
AmeriHealth Caritas Myrtle Point, United States· Your career starts now. We are looking for the next generation of health care leaders. · At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our asso ...
-
Dental Director
1 week ago
AmeriHealth Caritas Myrtle Point, United States· Job Brief · The Dental Director will be responsible for supporting the PA CHC, MI Blue Cross Complete and Medicare programs. They will reviewing, auditing as well as assisting with appeals and grievances. Candidates must licensed to practice in Pennsylvania. · Your career star ...
-
Head of Product
5 days ago
Sandbox AQ Myrtle Point, United StatesReady to join the AQ era? · SandboxAQ is solving challenging problems with AI + Quantum for positive impact. We partner with global leaders in government, academia, and the private sector to identify applications that would benefit from quantum-based applications to current and ...
-
Head of Product
4 days ago
Sandbox AQ Myrtle Point, United StatesReady to join the AQ era? · SandboxAQ is solving challenging problems with AI + Quantum for positive impact. We partner with global leaders in government, academia, and the private sector to identify applications that would benefit from quantum-based applications to current and ...
-
Strategic Sourcing Contracts Manager
1 day ago
Arrow Electronics Myrtle Point, United States**Position:** · Strategic Sourcing Contracts Manager - Contingent Labor · **Job Description:** · Arrow is looking for a Strategic Contracts Manager to support our Contingent Workforce Programs. · **What You'll Be Doing:** · Sourcing and Category Management Support · + Provi ...
-
Accounts Payable Specialist
3 weeks ago
Owens & Minor, Inc. Myrtle Point, United StatesAt Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers-and the ...
-
Provider Enrollment Specialist
3 weeks ago
Ventra Health, Inc. Myrtle Point, United StatesVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
-
Medical Coding Auditor
5 days ago
AmeriHealth Caritas Myrtle Point, United StatesJob Description · *Must be permanently authorized to work in the U.S. as a precondition of employment. · Your career starts now. We are looking for the next generation of health care leaders. · At AmeriHealth Caritas, we are passionate about helping people get care, stay well and ...
-
Workday Product Analyst
3 days ago
Youth Villages Remote, United StatesOrganizational Overview · Youth Villages is a non-profit organization helping youth, young people, and their families across the United States who face a wide range of emotional, mental, and behavioral challenges. As a leader in the field of youth mental and behavioral health, Yo ...
-
Senior Security Infrastructure Engineer
6 days ago
Arrow Electronics Myrtle Point, United States**Position:** · Senior Security Infrastructure Engineer · **Job Description:** · **Summary:** · This position is responsible for combination of security design and implementation work, as well as design, implementation, and enhancements of Arrow corporate security infrastruct ...
-
AmeriHealth Caritas Myrtle Point, United States· Job Brief · The Dental Director Utilization Management Appeals, will be responsible for the appeals process of our members in PA, OH and MI. This is a remote role and does require a Pennsylvania license (DMD/DMS). · Your career starts now. We are looking for the next generatio ...
-
Medical Coding Auditor
5 days ago
AmeriHealth Caritas Myrtle Point, United States· *Must be · permanently authorized · to work in the U.S. as a precondition of employment. · Your career starts now. We are looking for the next generation of health care leaders. · At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build heal ...
-
Technical Support Supervisor
3 weeks ago
Symbotic Myrtle Point, United StatesWho we are · With its A.I.-powered robotic technology platform, Symbotic is changing the way consumer goods move through the supply chain. Intelligent software orchestrates advanced robots in a high-density, end-to-end system - reinventing warehouse automation for increased effi ...
-
Enrollment Specialist
2 weeks ago
AmeriHealth Caritas Myrtle Point, United States· Your career starts now. We're looking for the next generation of healthcare leaders. · At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associa ...
-
Dental Director
6 days ago
AmeriHealth Caritas Myrtle Point, United StatesJob Description · Job Brief · The Dental Director will be responsible for supporting the PA CHC, MI Blue Cross Complete and Medicare programs. They will reviewing, auditing as well as assisting with appeals and grievances. Candidates must licensed to practice in Pennsylvania. · Y ...
Senior Field Reimbursement Manager - Myrtle Point, United States - Gilead Sciences
Description
Senior Field Reimbursement Manager – Northeast page is loadedSenior Field Reimbursement Manager – Northeast
Apply
locations
United States – Remote
time type
Full time
posted on
Posted 7 Days Ago
job requisition id
R
For Current Gilead Employees and Contractors:
Please log onto your Internal Career Site
to apply for this job.
At Gilead, we're creating a healthier world for all people.
For more than 35 years, we've tackled diseases such as HIV, viral hepatitis, COVID-19 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 world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference.
Every member of Gilead's team plays a critical role in the discovery and development of life-changing scientific innovations.Our employees are our greatest asset as we work to achieve our bold ambitions, and we're 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
Gilead's mission is to discover, develop, and deliver therapies that will improve the lives of patients with life-threatening illnesses worldwide.
The Senior Manager (SM) Field Reimbursement Manager (FRM) will be part of a team that is changing the world and helping millions of people live healthier, more fulfilling lives.
The SM FRM is a critical front-line member of the Gilead Field Reimbursement Team.The primary purpose of this role is to serve as a field-based, product access specialist that partners with provider organizations to optimize patient access to Gilead PBC/Liver products, develop impactful relationships, and provide appropriate reimbursement support to HCPs and office staff.
The person in this role proactively provides in person and virtual education to defined accounts within their assigned regions on a wide range of access and reimbursement topics for aligned portfolio product(s).
The person in this role is responsible for managing the pull-through of access and reimbursement strategy within their assigned accounts.
SM FRMs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding (as needed), claims processing, reimbursement, and awareness of manufacturer support programs into a range of account workflows.
FRMs will continually need to demonstrate a keen ability to problem solve and manage multiple projects.
Internal stakeholders with whom the SM FRM will interact include other Gilead field associates, such as Therapeutic Specialists (Sales), representing Gilead with the highest integrity in accordance with Gilead Values and Behaviors.
The SM FRM will also be required to coordinate and communicate cross-functionally within the organization (e.g., Patient Support, Marketing, Public Affairs, Government Affairs, Trade, and other applicable third-party affiliates).
The position is a remote/field-based role that covers theNortheast region
. The position is a remote/field-based role that covers New York, Massachusetts, Connecticut ,
Rhode Island, New Hampshire and Vermont. Candidate must reside within 10 miles of their region's borders.
Specific job responsibilities:
Develop and manage business relationships with key account stakeholders such as providers, and specialty pharmacies and their employees.
Serve as a regional reimbursement expert, using influence mapping to better identify key customer accounts and reach the right stakeholders.
Assist internal patient support program team in identifying ways to positively enhance hub & FRM processes, with accompanying internal and external change managementExamples include:
streamlining the benefit verification process, and educating on prior authorizations to initiate patients on treatments faster. 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.
Proactively communicate changes that may arise in the formulary or reimbursement processes for Gilead products and ensure accounts are supported.
Provide education on reimbursement processes and requirements such as medical exception and prior authorization.Partner with internal stakeholders to design instructional resources for the FRM team to share with providers and their office staff to educate on best practices in reimbursement processes.
Communicate local and state policy changes that could cause pitfalls / bottlenecks from a reimbursement standpoint. Field pulse check surveys to understand customer perceptions of Gilead reimbursement support.Increase coordination with Gilead HUB by streamlining communication channels between FRMs and case managers. Collaborate closely with internal matrix partners to provide focused, efficient, and impactful customer experiences across the field-team. Help develop policies around communication best practices.
Identify stages in the Gilead patient journey causing bottlenecks that prevent application of therapies.
Employ technology tools (such as triaging apps and data portals) to respond quickly to high-need cases that are brought up the chain of command.
Basic Qualifications:
Bachelor's Degree and 10 Years' Experience OR
Master's Degree and 8 Years' Experience OR
PhD and 2 Years' Experience
Preferred Qualifications:
BA/BS/RN with 9+ years of experience working for a major pharmaceutical organization on the field reimbursement team.
MA/MS/PharmD with 7+ years of experience working for a major pharmaceutical organization on the field reimbursement team.
Prior leadership experience is strongly preferred.
Deep understanding of relationship between payers, providers, and pharma companies in reimbursement process.
Experience engaging with and managing large, complex provider accounts.
Familiarity with pharmacy benefit, 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 region. This is a field-based role where in-person meetings with key stakeholders are crucial to success.
People Leader Accountabilities
Create Inclusion - knowing the business value of diverse teams, modelling inclusion and embedding the value of diversity in the way they manage their teams.
Develop Talent - understand the skills, experience, aspirations and potential of their employees and coach them on current performance and future potential.
They ensure employees are receiving the feedback and insight needed to grow, develop and realize their purpose.Empower Teams - connect the team to the organization by aligning goals, purpose, organizational objectives and holding to account. They provide the support needed to remove barriers and connect their team to the broader ecosystem.
The salary range for this position is: $173, $225, Gilead considers a variety of factors when determining base compensation, including experience, qualifications, and geographic location.
These considerations mean actual compensation will vary.This position may also be eligible for a discretionary annual bonus, discretionary stock-based long-term incentives (eligibility may vary based on role), paid time off, and a benefits package.
Benefits include company-sponsored medical, dental, vision, and life insurance plans*.For additional benefits information, visit:
United States:
As an equal opportunity employer, Gilead Sciences Inc. is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or
mental
disability, genetic
information or characteristic, gender identity and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws.
for assistance.
For more information about equal employment opportunity protections, please view the
'Know 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 log onto your Internal Career Site
to apply for this job.
Similar Jobs (5)
Senior Field Reimbursement Manager - Northwest
locations
United States – Remote
time type
Full time
posted on
Posted 7 Days Ago
Senior Field Reimbursement Manager – Southeast
locations
United States – Remote
time type
Full time
posted on
Posted 7 Days Ago
Senior Field Reimbursement Manager - Southwest
locations
United States – Remote
time type
Full time
posted on
Posted 7 Days Ago
Gilead Sciences, Inc.
is a biopharmaceutical company that has pursued and achieved breakthroughs in medicine for more than three decades, with the goal of creating a healthier world for all people.
The company is committed to advancing innovative medicines to prevent and treat life-threatening diseases, including HIV, viral hepatitis and cancer.
Gilead operates in more than 35 countries worldwide, with headquarters in Foster City, California.#J-18808-Ljbffr
