Director, Reimbursement Policy Pharmacy Benefit
United States - District of Columbia - Washington
Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world. Gilead’s therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions.Making an impact on a global scale
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Job DescriptionGilead Sciences, Inc. is a research-based biopharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world. Gilead's therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions. The Director, Reimbursement Policy - Pharmacy Benefit will support the Government Affairs and Policy Team in developing and executing reimbursement strategies to facilitate access to Gilead's portfolio of innovative, life-saving medicines. Focused on Gilead's pharmacy benefit therapeutics including therapies to prevent and treat infectious diseases like HIV, the Director will support developing reimbursement strategies for both pipeline and launched products to support access in public programs like Medicare and Medicaid.The scope of responsibilities will include identifying reimbursement policy challenges and opportunities, co-creating strategies aimed at securing reimbursement and access to therapies for patients, as well as advocacy and engagement to deliver on these strategies. This individual must be creative, flexible, results-oriented, and entrepreneurial, capable of developing relationships and facilitating partnerships internally as well as externally with trade associations, industry peers, government officials, and other external stakeholders to reach reimbursement policy goals. The position reports to the Senior Director, Reimbursement Policy and will be based in Washington, DC.Responsibilities
- Identify regulatory opportunities and threats to the reimbursement of Gilead's novel therapies, with a focus on Gilead's pharmacy benefit therapeutics covered under Medicare Part D.
- Analyze and quantify the impact of reimbursement policy proposals on the Gilead business.
- Develop comprehensive strategies to deliver on a range of Medicare and Medicaid proactive and reactive reimbursement priorities.
- Draft comment letters, policy briefs, publications, and other persuasive communications and resources to support policy objectives.
- Support pricing and reimbursement analytics to inform and substantiate reimbursement policy positions.
- Partner with colleagues on the Government Affairs and Policy team and across other corporate functions including Public Affairs, Managed Markets, Value & Access, Medical Affairs to provide counsel on the impact of policy proposals and align on strategies tied to Gilead's reimbursement policy goals.
- Represent Gilead within various trade associations (e.g. PhRMA, BIO) and workgroups.
- BS or BA degree and a minimum of 12 years prior experience in health policy, with knowledge of federal health programs and public payer policy trends, or a minimum of 10 years of relevant experience with an MS/MA or MBA.
- Understanding of US coding and reimbursement systems for public payers at the federal and state levels, specifically, Medicare Part D and Medicaid policy knowledge is required.
- Experience with engagement with Centers for Medicare and Medicaid Services (CMS) and other executive branch agencies (e.g. CMMI, HRSA, OMB, political appointees. etc).
- Excellent verbal, analytical, written, and interpersonal communication skills, particularly in distilling complex technical information for broad audiences.
- Entrepreneurial, outcomes-oriented, and highly collaborative across matrixed teams
- High degree of critical thinking skills and analytical ability to deploy data-driven reimbursement solutions.
- High degree of integrity and ability to deliver on Gilead's Leadership commitments: I am bold. I care. I listen. I trust. I own.
- Prior pharmaceutical or device industry experience or experience within government agencies (e.g. CMS) is preferred.
- Advanced degree in public policy, health policy, public health, or health economics.
The salary range for this position is: $195,245.00 - $252,670.00. 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: https://www.gilead.com/careers/compensation-benefits-and-wellbeing
* Eligible employees may participate in benefit plans, subject to the terms and conditions of the applicable plans.
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