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Associate Director, Oncology Field Reimbursement Management - West Region

Employer
Gilead Sciences, Inc.
Location
Foster City, CA
Start date
Nov 28, 2023

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Discipline
Administration, Finance, Science/R&D, Oncology
Required Education
Associate Degree
Position Type
Full time
Hotbed
Biotech Bay, Best Places to Work

Job Details

Associate Director, Oncology Field Reimbursement Management - West Region
United States - California - San FranciscoUnited States - Oregon - PortlandUnited States - California - Los AngelesUnited States - Nevada - Las VegasUnited States - Colorado - Denver

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
Inclusion is one of the company’s five core values. That’s because we know that we are stronger and more innovative at Gilead when we are informed by a diverse set of backgrounds, experiences and points of view. Gilead Sciences is a biopharmaceutical company that discovers, develops and commercializes innovative therapeutics in areas of unmet medical need. The company's mission is to advance the care of patients suffering from life-threatening diseases worldwide.

When you join Gilead, you join our mission to change the world by enabling people to live healthier and more fulfilling lives. Come join a mission-driven bio-pharmaceutical organization that values inclusion and diversity, has a strong portfolio of products, and is constantly #CreatingPossible

For Current Gilead Employees and Contractors:

Please log onto your Internal Career Site to apply for this job.

At Gilead we believe every employee deserves a great leader. As a people leader now or in the future, we expect that you will model and create an environment of inclusion, be intentionally focused on the hiring, development, growth and retention of talent, and empower teams to align and achieve goals.
Job Description



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.


At Gilead we believe every employee deserves a great leader. As a people leader now or in the future, we expect that you will model and create an environment of inclusion, be intentionally focused on the hiring, development, growth and retention of talent, and empower teams to align and achieve goals.


With the commitment and drive you bring as a Senior Manager (SM) / Associate Director, Field Reimbursement Manager (ADFRM), you will be part of a team that is changing the world and helping millions of people live healthier, more fulfilling lives. The SM/AD 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 Oncology products, develop impactful relationships, and provide appropriate reimbursement support to HCPs and office staff. The position is a remote/field-based role that covers the West Region. Candidate must reside within 10 miles of their region's borders. West Region territory includes WA, OR, ID, MT, WY, CA, NV, UT, CO, AZ, NM, AK,and HI.

The person in this role proactively provides in person and/or virtual education to defined accounts within their assigned regions on a wide range of access and reimbursement topics for aligned portfolio product(s). The SM/AD FRM will primarily focus on accounts serving large volumes of patients needing access support . The SM/AD FRM will also take a pivotal role in building relationships with key accounts to offer patient support.

The person in this role is responsible for managing the pull-through of access and reimbursement strategy within their assigned accounts. SM/AD 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 FRM will interact include other Gilead field associates, Therapeutic Specialists (Sales), and Nurse Educators (NEs), representing Gilead with the highest integrity in accordance with Gilead Values and Behaviors. The SM/AD 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 person in this role will also:
  • 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 management. Examples 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 buy-and-bill process and benefits.
  • 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 oncology 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

- Master's Degree and 8 Years' Experience

- PhD and 2 Years' Experience

Preferred Qualifications:
  • BA/BS/RN with 7+ years of experience working for a major pharmaceutical organization on the field reimbursement team
  • MA/MS/PharmD with 5+ years of experience working for a major pharmaceutical organization on the field reimbursement team
  • Prior leadership experience is strongly preferred
  • Experience with buy and bill products and deep knowledge of oncology reimbursement practices, as well as managed markets. Understand relationship between payers, providers, and pharma companies in reimbursement process.
  • Experience engaging with and managing large, complex provider accounts.
  • Familiarity with specialty payer landscape and reimbursement pathways (commercial, Medicare, Medicaid, NCCN/ASCO guidelines).
  • 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


The salary range for this position is: $168,980.00 - $218,680.00. 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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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. 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 ApplicantAccommodations@gilead.com 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.






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Company

Gilead Sciences is a biopharmaceutical company that discovers, develops, and commercializes innovative therapeutics in areas of unmet medical need. The company's mission is to advance the care of patients suffering from life-threatening diseases worldwide. Headquartered in Foster City, California, Gilead has operations in North America, Europe and Australia.
 

Company info
Website
Location
333 Lakeside Drive
Foster City
California
94404
United States

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