Gilead Sciences Inc

Associate Director Field Reimbursement Manager - East

Gilead Sciences Inc$177K — $230K *
Pharmaceuticals & Biotech
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 10+ years or Master's degree with 8+ years of experience, or advanced degree (MD, PharmD, PhD) with 2+ years of experience.
  • 7+ years of experience in reimbursement, patient access, provider support, or similar roles, preferably in oncology or cell therapy.
  • Strong understanding of medical coding systems like ICD-10, CPT, and HCPCS, along with payer coverage policies.
  • Experience navigating and resolving prior authorization and complex claims issues.
  • Skill in using CRM systems like Veeva for documentation and insights.

Responsibilities

  • Serve as the access and reimbursement expert for assigned ATCs in the US East region.
  • Educate external and internal stakeholders on reimbursement processes and payer access requirements.
  • Identify and address reimbursement barriers, collaborating on timely solutions.
  • Align patient services and programs with market access strategies to enhance patient support.
  • Collaborate cross-functionally to develop and refine tools that assist in reimbursement and access execution.

Benefits

  • Company-sponsored medical, dental, vision, and life insurance plans.
  • Eligibility for discretionary annual bonus and stock-based incentives based on performance.
  • Opportunity for professional development and training initiatives to enhance reimbursement knowledge.
Full Job Description
Job Description

The Associate Director, Field Access and Reimbursement serves as an access and reimbursement resource for assigned ATCs and internal Kite partners. The role supports compliant reimbursement education, barrier identification, appropriate escalation, and field insight capture to help inform access planning and coordinated Market Access execution.

This role provides field-based access and reimbursement support within complex CAR-T treatment environments. The Associate Director, Field Access and Reimbursement will work in coordination with established Kite stakeholders who engage with each ATC to support access planning, reimbursement issue resolution, barrier reduction, and coordinated execution.

The individual in this role contributes reimbursement expertise, captures relevant field insights, and supports coordinated solutions that align with Kite's access model and broader Market Access objectives.

Territory: US - East

This is a field-based position that will be responsible for US - East. Candidates should reside within the geography

Key Responsibilities

ATC Access and Reimbursement Support
  • Serve as a subject matter expert for field-based access and reimbursement for ATCs in assigned geography working in coordination with Key Account Directors, Regional Account Directors, National Account Directors, Patient Services, Market Access, Medical Affairs, Sales, and other Kite stakeholders engaged with each center.
  • Provide reimbursement and access education consistent with approved resources, role responsibilities, company policies, and compliant field engagement practices.

Reimbursement and Payer Process Support
  • Provide reimbursement process education, as appropriate, related to benefit verification, prior authorization, single case agreements, claims submission, payment delays, and appeals processes.
  • Support stakeholder understanding of inpatient and outpatient billing and coding considerations, including ICD-10, CPT, HCPCS, DRG, and associated reimbursement methodologies.
  • Support provider understanding of payer-specific access requirements, as appropriate, including out-of-network exceptions, Centers of Excellence networks, single case agreements, global case rate structures and medical policy.

Barrier Identification, Escalation, and Resolution
  • Help identify, escalate, and support resolution of reimbursement barriers, including prior authorization delays, denials, payer contracting and claims issues.
  • Work through appropriate internal and external channels to support timely, coordinated, and compliant resolution of access challenges.

Patient Services and Program Alignment
  • Support appropriate case routing to Patient Services and Kite Konnect Case Manager, consistent with program scope and approved processes.
  • Reinforce program scope, capabilities, and role boundaries across patient support and patient services programs.
  • Support alignment with patient support programs and broader Market Access strategy.

Revenue Cycle Engagement
  • Engage revenue cycle stakeholders to help assess reimbursement delays, billing pathway challenges, and operational barriers.
  • Identify opportunities, in partnership with internal Kite cross-functional stakeholders, to support education around financial predictability and program sustainability with approved resources.

Cross-Functional Collaboration and Governance
  • Coordinate with Key Account Directors, Regional Account Directors, National Account Directors, Patient Services, Sales, Medical Affairs, Market Access, Trade, and other stakeholders to support aligned access discussions with ATCs.
  • Collaborate with Legal, Medical, Regulatory, and Market Access partners to support compliant execution and alignment with approved access strategies.
  • Contribute to coordinated, compliant approaches to solving complex access challenges.

Field Insights and Resource Development
  • Gather and synthesize field insights related to payer policies, reimbursement processes, and recurring access challenges.
  • Contribute to the development of tools, resources, best practices, and recommendations that may support access execution across treatment centers.
  • Document field activities, insights, and trends within CRM systems such as Veeva, consistent with company expectations.

Education and Capability Support
  • Deliver reimbursement education, as appropriate, to ATC billing, access, and revenue cycle teams using approved materials and resources.
  • Provide education to internal stakeholders on reimbursement pathways, payer dynamics, and emerging access considerations.
  • Support the development and delivery of training initiatives that enhance organizational reimbursement knowledge.

Documentation and Account Planning Support
  • Maintain focused account planning inputs related to access risks, opportunities, and reimbursement priorities.
  • Ensure timely and accurate documentation of field activity, insights, and follow-up actions.

Compliance
  • Perform all responsibilities in a compliant, non-promotional manner consistent with company policies, applicable laws, regulations, and industry standards.


Basic Qualifications
  • Bachelor's degree and 10+ years of experience.
  • OR
  • Master's degree and 8+ years of experience.
  • OR
  • Advanced degree (MD, PharmD, PhD) and 2+ years of experience.


Preferred Qualifications

  • 7+ years of experience in reimbursement, patient access, provider support, or related functions within oncology, rare disease, cell therapy, or gene therapy.
  • Strong knowledge of buy-and-bill, institutional billing, payer coverage policy, and medical benefit reimbursement pathways.
  • Demonstrated experience navigating prior authorization, appeals, denials, and complex reimbursement scenarios.
  • Experience supporting CAR-T or similar therapies, including familiarity with patient flow from leukapheresis through post-infusion management.
  • Strong knowledge of coding systems including ICD-10, CPT, and HCPCS.
  • Billing and coding certification, for example CPC, or equivalent demonstrated expertise.
  • Experience supporting large, complex treatment centers, academic institutions, and/or community practices.
  • Strong cross-functional collaboration and stakeholder influence skills.
  • Demonstrated ability to work collaboratively within complex provider and cross-functional environments.
  • Experience using CRM systems such as Veeva for documentation, insight capture, and account planning.
  • Ability to travel up to 40% of the time, including field visits, customer engagements, internal meetings, and other business needs.


The salary range for this position is: $177,905.00 - $230,230.00. Kite 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.

Kite is a biopharmaceutical company engaged in the development of innovative cancer immunotherapies with a goal of providing rapid, long-term durable response and eliminating the burden of chronic care. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune system's ability to recognize and kill tumors. Kite is based in Santa Monica, CA. For more information on Kite, please visit www.kitepharma.com. Sign up to follow [redacted] on Twitter at www.twitter.com/kitepharma.

For Current Kite Pharma Employees and Contractors:

Please apply via the Internal Career Opportunities portal in Workday.

About Gilead Sciences Inc

Gilead Sciences is a research-based biopharmaceutical company that discovers, develops, and commercializes innovative medicines in areas of unmet need. With each new discovery and experimental drug candidate, they seek to improve the care of patients suffering from life-threatening diseases. Gilead's primary areas of focus include HIV/AIDS, liver disease, and serious cardiovascular and respiratory conditions.

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Learn more about Gilead Sciences Inc
Size
14,400 employees
Market Cap
$107.2 billion
Industry
Net Income
$123 million
Founded
1987
5 Year Trend
-2.1%
Revenue
$24.6 billion
NASDAQ

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