Associate Director Field Reimbursement Manager - West
About the role
We’re dedicated to developing treatments and pioneering personalized CAR T-cell therapies that have changed the paradigm in cancer care. The Associate Director, Field Access and Reimbursement serves as an access and reimbursement resource for assigned ATCs (Authorized Treatment Centers) and internal Kite partners. This field-based role supports compliant reimbursement education, barrier identification, appropriate escalation, and field insight capture to help inform access planning and coordinated Market Access execution within complex CAR-T treatment environments. The position is responsible for the US - West territory and requires residency within the geography.
Responsibilities
- ATC Access and Reimbursement Support
- Serve as a subject matter expert for field-based access and reimbursement for ATCs in assigned geography, coordinating with Key Account Directors, Regional Account Directors, National Account Directors, Patient Services, Market Access, Medical Affairs, Sales, and other Kite stakeholders.
- Provide reimbursement and access education consistent with approved resources, company policies, and compliant field engagement practices.
- Reimbursement and Payer Process Support
- Provide education on reimbursement processes related to benefit verification, prior authorization, single case agreements, claims submission, payment delays, and appeals.
- Support stakeholder understanding of inpatient and outpatient billing and coding considerations, including ICD-10, CPT, HCPCS, DRG, and associated reimbursement methodologies.
- Educate providers on payer-specific access requirements, such as 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 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 using 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 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 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.
Qualifications
- 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 (e.g., 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.
Pay
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
- Company-sponsored medical, dental, vision, and life insurance plans.
- Eligible employees may participate in additional benefit plans, subject to the terms and conditions of the applicable plans.
For additional benefits information, visit: https://www.gilead.com/careers/compensation-benefits-and-wellbeing