Field Reimbursement Manager, Immunology, Dermatology

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

📋 Description

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

• Directly contact healthcare provider offices within a designated area.

• Provide answers to questions related to patient access and reimbursement for AbbVie’s immunology portfolio.

• Offer expertise on coverage, access, and reimbursement challenges that impact AbbVie immunology products.

• Educate healthcare providers about patient support initiatives, access and reimbursement tools, and available services.

• Inform on product-specific acquisition and access alternatives, including specialty pharmacy networks, specialty distribution, and white-bagging support.

• Provide information on resources available to tackle access challenges.

• Deliver local expertise on national and regional payer policies, payer concerns, coding updates, and claims submission procedures.

• Coordinate with AbbVie’s Access and Reimbursement support center concerning prescription status and program eligibility.

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

• Develop and nurture relationships with relevant providers within the territory.

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

• Travel approximately 50% of the time.

⛳️ Requirements

• Minimum of 3 years of experience in immunology, with a focus on Market Access, Payer Account Management, and/or Access and Reimbursement.

• Comprehensive knowledge of technical payer policy processes, systems, and requirements for specialty medicine coverage, coding, and payment.

• Familiarity with the rules, regulations, and risks linked to reimbursement support services.

• Capability to articulate technical coding and billing requirements at both national and regional levels across all care settings.

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

• Knowledge of drug acquisition and dispensing in immunology specialty biologics, including Buy and Bill, specialty pharmacies, and specialty distributors.

• Awareness of access and reimbursement support service centers and compliant interaction practices.

• Strong territory and account management abilities.

• Bachelor’s degree.

• Valid driver's license.

• At least 5 years of industry experience in access and reimbursement or account management.

• Extensive experience in educating others on payer processes, coverage requirements, and access-related issues for specialty medicines.

• Proven leadership track record in the current role.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility for long-term incentive programs.