Field Reimbursement Manager, Immunology, Dermatology
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Job Description
Field Reimbursement Manager supporting U.S. immunology providers with payer policies, coding, reimbursement, and patient access. Educating HCP offices on AbbVie support programs and specialty biologic acquisition options.
Responsibilities:
- Act as an alternative in-office resource addressing healthcare provider questions about patient access
- Call directly on healthcare provider offices within an assigned geography
- Answer questions about patient access and reimbursement for AbbVie’s immunology portfolio
- Provide expertise on coverage and access and reimbursement challenges affecting AbbVie immunology products
- Educate healthcare providers on patient support programs, access and reimbursement tools, and services
- Educate on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support
- Educate on resources available to address access issues
- Provide local expertise on national and regional payer policies, payer issues, coding changes, and claims submission processes
- Liaise with AbbVie’s Access and Reimbursement support center regarding prescription status and program eligibility
- Report payer trends for approved products to Patient Services and Market Access account management teams
- Establish and maintain relationships with appropriate providers within the territory
- Remain current on managed care, reimbursement, and policy activities
- Travel approximately 50% of the time
Requirements:
- At least 3 years of experience in immunology with experience in Market Access, Payer Account Management, and/or Access and Reimbursement
- Thorough understanding of technical payer policy processes, systems, and requirements for specialty medicine coverage, coding, and payment
- Understanding of rules, regulations, and risks associated with reimbursement support services
- Ability to communicate technical coding and billing requirements at national and regional levels across all care settings
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Understanding of drug acquisition and dispensing in immunology specialty biologics, including Buy and Bill, specialty pharmacies, and specialty distributors
- Understanding of access and reimbursement support service centers and compliant interaction practices
- Excellent territory and account management skills
- Bachelor's degree
- Valid driver's license
- 5 or more years of industry experience in access and reimbursement or account management
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines
- Strong track record of leadership within current role
Benefits:
- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance
- 401(k)
- Long-term incentive program eligibility
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