Jobs · Finance

Associate Director Field Reimbursement Manager - West

Kite Pharma · United States · 3 mo ago
RemoteRemoteFinance$178k–$230k/yrFull-time

About the role

We’re here for one reason and one reason only – to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We’ve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next.

Responsibilities

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

Requirements

  • 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.
  • 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.
  • 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 CAR-T or similar therapies, including familiarity with patient flow from leukapheresis through post-infusion management.
  • Strong cross-functional collaboration and stakeholder influence skills.
  • 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.

Qualifications

  • Basic Qualifications
  • Preferred Qualifications

Skills

  • Reimbursement
  • Field Access
  • Provider Support
  • Revenue Cycle Engagement
  • Field Insights and Resource Development
  • Education and Capability Support
  • Documentation and Account Planning
  • Compliance

Benefits

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.

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