Associate Director Field Reimbursement Manager - West
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AI Summary
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.
We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows.
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 - West
This is a field-based position that will be responsible for US - West. 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.
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 @KitePharma on Twitter at www.twitter.com/kitepharma.
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Kite Pharma is committed to providing equal employment opportunities to all employees and applicants for employment, and is dedicated to fostering an inclusive work environment comprised of diverse perspectives, backgrounds, and experiences. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, sex, 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
Kite Pharma will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, (c) consistent with the legal duty to furnish information; or (d) otherwise protected by law.
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.
Kite Pharma provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
For Current Kite Pharma Employees and Contractors:
Please apply via the Internal Career Opportunities portal in Workday.
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