Caseworker supporting reimbursement processes and patient services within a healthcare context
Responsibilities
Assists reimbursement processes to enable timely, accurate, and consistent handling of coverage-related requests across customer operations and patient support workflows
Coordinates benefits-related documentation, case updates, follow-up activities, and reimbursement support communications to advance case progression
Resolves routine reimbursement issues, documentation gaps, and workflow exceptions to reduce delays and support access-related outcomes
Maintains accurate case records, reimbursement documentation, and system updates to support operational visibility, reporting readiness, and workflow control
Monitors reimbursement trends, recurring issues, and escalation indicators to support proactive issue resolution and service continuity
Requirements
High School Diploma/GED or equivalent
Nice to have: certification in reimbursement support
Assists reimbursement processes and supports case coordination for healthcare and animal care services.
Responsibilities
Assists reimbursement processes to enable timely, accurate, and consistent handling of coverage-related requests across customer operations and patient support workflows.
Coordinates benefits-related documentation, case updates, follow-up activities, and reimbursement support communications to advance case progression.
Resolves routine reimbursement issues, documentation gaps, and workflow exceptions to reduce delays and support access-related outcomes.
Maintains accurate case records, reimbursement documentation, and system updates to support operational visibility, reporting readiness, and workflow control.
Monitors reimbursement trends, recurring issues, and escalation indicators to support proactive issue resolution and service continuity.
Requirements
High School Diploma/GED or equivalent
Nice to have: certification in reimbursement support
Our Base Pay Range for this position $47,600 - $79,300
Responsibilities
Review and triage incoming intake requests, directing time-sensitive items to the appropriate patient scheduling team.
Process new patient referrals, enrolments, renewals, medical order changes, and additional intake service requests accurately and within established service-level timelines.
Create and update patient profiles, including medication, therapy, prescriber, and referral information, before patients move into the scheduling process.
Review referral forms, physician orders, and supporting documentation for completeness and accuracy.
Follow up with Patient Support Programs, nurses, physicians, pharmacies, and internal teams to resolve missing or incomplete information.
Requirements
Senior Field Reimbursement Manager - Liver - Central South
Senior Field Reimbursement Manager – Liver responsible for managing payer policies, reimbursement challenges, and patient access strategies across Central South region.
Locations (3)
Dallas, Texas, United States
St Louis, Missouri, United States
Oklahoma City, Oklahoma, United States
Compensation
The salary range for this position is: $153,935.00 - $199,210.00. 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.
Responsibilities
Develop and manage business relationships with key account stakeholders
Serve as a regional reimbursement expert
Assist internal patient support program team
Senior Field Reimbursement Manager - HIV Prevention - Dallas, TX
The salary range for this position is: $153,935.00 - $199,210.00. 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.
Responsibilities
Develop and manage strategic business relationships with key account stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead’s HIV Prevention products.
Serve as an enterprise-level reimbursement and access expert, using influence mapping to identify executive, pharmacy, billing, implementation, provider, and operational stakeholders across complex organizations.
Lead coordinated, cross-regional account strategies that reduce duplication of effort, improve role clarity across local FRMs and matrix partners, and enable consistent customer support across multi-site accounts.
Assess systemic access and reimbursement barriers impacting multiple sites, including benefit verification, prior authorization, medical exception, claims, acquisition, specialty pharmacy, and LAI operational workflows.
Partner with senior account stakeholders and internal matrix teams to establish, optimize, and support scalable reimbursement processes aligned to the account’s operating model.
Requirements
Senior Field Reimbursement Manager - Liver - Central South
Senior Field Reimbursement Manager responsible for managing reimbursement and access strategies for Gilead’s liver products across Central South, engaging key stakeholders, and optimizing patient access workflows.
Locations (3)
Dallas, Texas, United States
St Louis, Missouri, United States
Oklahoma City, Oklahoma, United States
Compensation
The salary range for this position is: $153,935.00 - $199,210.00. 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.
Responsibilities
Develop and manage business relationships with key account stakeholders, including providers and specialty pharmacies, to facilitate patient access to Gilead's products.
Senior Field Reimbursement Manager - HIV Prevention
Senior Field Reimbursement Manager – HIV Prevention responsible for supporting access and reimbursement optimization across large, complex health systems, IDNs, and national or regional accounts.
Compensation
The salary range for this position is: $153,935.00 - $199,210.00. 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.
Responsibilities
Develop and manage strategic business relationships with key account stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead’s HIV Prevention products.
Serve as an enterprise-level reimbursement and access expert, using influence mapping to identify executive, pharmacy, billing, implementation, provider, and operational stakeholders across complex organizations.
Lead coordinated, cross-regional account strategies that reduce duplication of effort, improve role clarity across local FRMs and matrix partners, and enable consistent customer support across multi-site accounts.
Assess systemic access and reimbursement barriers impacting multiple sites, including benefit verification, prior authorization, medical exception, claims, acquisition, specialty pharmacy, and LAI operational workflows.
Partner with senior account stakeholders and internal matrix teams to establish, optimize, and support scalable reimbursement processes aligned to the account’s operating model.
Manage a dedicated territory to support access for provider and patients, providing education to primary care and cardiology healthcare providers and office staff on access services and reimbursement solutions.
Responsibilities
Manage daily activities that support appropriate patient access to client products in provider offices
Serve as payer expert for defined geography
Provide office education and awareness during the entire access process
Educate offices using approved educational materials
Input call activity into customer CRM
Requirements
4-year degree in related field or equivalent experience
Support patients, healthcare professionals and clinic teams through a Patient Support Program, coordinating enrolment, reimbursement, and access to specialty medications.
Compensation
$53,700 - $89,500
Responsibilities
Manage patient cases from enrolment through ongoing program support, maintaining accurate and timely documentation.
Serve as a key contact for patients, prescribers, clinic staff, pharmacies, insurers and other program partners.
Support reimbursement navigation, including public and private insurance coverage, prior authorization requirements and financial‑assistance options.
Collect and review required patient, prescription and insurance information to identify and resolve access barriers.
Coordinate with pharmacies, clinics and internal teams to support timely access to prescribed specialty medications.
Requirements
Nice to have: Patient Support Program experience
Nice to have: specialty pharmacy experience
Nice to have: pharmaceutical manufacturer program experience
Nice to have: healthcare contact centre experience
Lead field reimbursement and market access activities for Gilead’s liver products across South Texas and Louisiana, managing relationships with providers, pharmacies, and payers to ensure timely patient access.
Locations (3)
Houston, Texas, United States
Mobile, Alabama, United States
Louisiana, United States
Compensation
The salary range for this position is: $177,905.00 - $230,230.00. 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.
Responsibilities
Develop and manage business relationships with key account stakeholders, including providers and specialty pharmacies, to facilitate patient access to Gilead's products.
Serve as a regional reimbursement expert, using influence mapping to identify and engage key customer accounts and communicate effectively with the appropriate stakeholders.
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.
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 cross-functional internal and external stakeholders to create instructional resources that help providers and office staff understand best practices in reimbursement processes.
Serve as a regional reimbursement expert, using influence mapping to identify and engage key customer accounts and communicate effectively with the appropriate stakeholders.
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.
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 cross-functional internal and external stakeholders to create instructional resources that help providers and office staff understand best practices in reimbursement processes.
Requirements
Bachelor's Degree
Master's Degree
Ph.D.
Nice to have: BA/BS/RN with 10+ years experience in pharmaceutical field reimbursement
Nice to have: MA/MS/PharmD with 8+ years experience in pharmaceutical field reimbursement
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