Field Reimbursement Manager – Immunology, Dermatology

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Act as an alternative in-office resource to respond to healthcare provider inquiries regarding patient access.

• Directly engage with healthcare provider offices within a designated geographic area.

• Inform healthcare providers about patient support initiatives, access and reimbursement resources, and available services.

• Provide education on product-specific acquisition and access avenues, encompassing specialty pharmacy networks, specialty distribution, and white-bagging assistance.

• Offer local insights on national and regional payer regulations, coding updates, and claims submission procedures.

• Guide healthcare providers on prescription status and program eligibility criteria.

• Collaborate with AbbVie’s Access and Reimbursement support center to keep providers informed.

• Monitor and report payer trends for approved products to the Patient Services and Market Access account management teams.

• Build and sustain relationships with providers within the assigned territory.

• Stay updated on managed care, reimbursement, and policy developments.

⛳️ Requirements

• Bachelor’s degree in health, sciences, pharmacy, or a business-related field is preferred, along with relevant industry experience required.

• Proven record of leadership in the current position.

• Strong grasp of technical coding and billing requirements at both national and regional levels across all care settings.

• Thorough understanding of Medicare Parts A, B, C, and D along with related reimbursement dynamics.

• In-depth knowledge of drug acquisition and dispensing, including specialty pharmacies, specialty distributors, and white-bagging processes.

• Awareness of the rules, regulations, and risks associated with reimbursement support services.

• Familiarity with access and reimbursement support service centers and compliant interaction practices.

• Valid driver’s license is required.

• Capability to pass a pre-employment drug screening and meet safe driving standards.

• Ability to fulfill necessary healthcare industry representative credentialing criteria, which may include background checks, drug screenings, proof of immunizations/vaccinations, fingerprinting, and specific state or city licenses.

• Must maintain good standing and/or be eligible to acquire the required HCIR credentials.

🏝️ Benefits

• Paid time off, which includes vacation, holidays, and sick leave.

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to engage in long-term incentive programs.

• A company car or truck may be provided for driving responsibilities.