Field Reimbursement Manager, Oncology
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Job Description
Field Reimbursement Manager educating oncology providers on AbbVie patient support, payer policies, and reimbursement. Managing territory relationships and reporting access trends across assigned markets.
Responsibilities:
- Educate healthcare professionals on patient support programs, access and reimbursement support tools and services
- Educate providers on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support
- Educate providers on resources addressing access issues
- Provide local expertise on national and regional payer policies, payer issues, coding changes, and appropriate claims submission processes
- Collaborate with Oncology internal stakeholders on key account management
- Report payer trends for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with appropriate providers within the territory
- Remain current on managed care, reimbursement, and policy activities
- Perform field-based work within a reasonable distance of the primary city
Requirements:
- Oncology and/or hematology-oncology experience strongly preferred
- Experience with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models strongly preferred
- Demonstrated understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and patient support program operations
- Strong understanding and ability to communicate technical coding and billing requirements at the national and regional level across all settings of care
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Satisfy all applicable health care industry representative credentialing requirements and be in good standing and/or eligible to obtain them
- 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 preferred
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines preferred
- Strong track record of leadership within current role preferred
- Willingness and ability to travel 50% of the time
Benefits:
- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance
- 401(k)
- Participation in long-term incentive programs
- Potential bonus, commission, incentive, and other compensation, subject to Company discretion
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