Field Reimbursement Manager, Immunology, Dermatology

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

📋 Description

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

• Directly contact healthcare provider offices within the designated geographic area.

• Provide education to healthcare providers on patient support programs, as well as access and reimbursement support tools and services.

• Inform about product-specific acquisition and access options, which include specialty pharmacy networks, specialty distribution, and white-bagging support.

• Offer insights on available resources to tackle access issues.

• Provide local expertise regarding national and regional payer policies, coding updates, and suitable claims submission processes.

• Coordinate with AbbVie's Access and Reimbursement support center concerning prescription statuses and program eligibility.

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

• Build and maintain relationships with relevant providers within the territory.

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

⛳️ Requirements

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

• Proven record of leadership in the current position.

• Strong comprehension and ability to convey technical aspects of coding and billing requirements at both national and regional levels across all care settings.

• In-depth knowledge of Medicare Parts A, B, C, and D along with associated reimbursement dynamics.

• Solid understanding of drug acquisition and dispensing, encompassing specialty pharmacies, specialty distributors, and white-bagging.

• Demonstrated knowledge of the rules, regulations, and risks linked to reimbursement support services.

• Strong grasp of access and reimbursement support service centers and compliant interactions with them.

• Possession of a valid driver's license.

• Capability to pass a pre-employment drug screening test and fulfill safe driving requirements.

• Must meet applicable HCIR credentialing requirements and be in good standing or eligible to acquire them.

• May be required to undergo background checks, drug screenings, proof of immunizations/vaccinations, fingerprinting, and specific state or city licenses.

• Willingness to travel 50% of the time.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility to participate in long-term incentive programs.

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

• Comprehensive benefits package for eligible employees.