Field Reimbursement Manager – Immunology, Dermatology

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

📋 Description

• Act as a field-based alternative to in-office resources for healthcare professional (HCP) inquiries regarding patient access.

• Directly engage with HCP offices within a designated geographic area.

• Provide answers to questions related to patient access and reimbursement for the AbbVie immunology product line.

• Inform HCPs about patient support programs, access and reimbursement tools, and available services.

• Educate on product-specific acquisition and access strategies, including specialty pharmacy networks, specialty distribution, and white-bagging assistance.

• Guide providers on resources that address access challenges.

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

• Collaborate with AbbVie’s Access and Reimbursement support center regarding prescription status and eligibility for programs.

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

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

• Stay informed about managed care, reimbursement, and policy developments.

⛳️ Requirements

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

• In-depth knowledge of technical payer policy processes, systems, and requirements related to coverage, coding, and payment for specialty medications.

• Familiarity with the regulations, guidelines, and risks associated with reimbursement support services.

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

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

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

• Awareness of access and reimbursement support service centers and compliant interactions with these entities.

• Strong territory and account management abilities.

• Bachelor’s degree.

• Valid driver’s license.

• Willingness and ability to travel 50% of the time.

• Additional qualifications include 5 or more years of industry experience in access and reimbursement or account management, extensive experience in educating others on payer processes and specialty medicine access situations, and a proven leadership track record in the current role.

🏝️ Benefits

• Paid time off (including vacation, holidays, and sick leave).

• Medical, dental, and vision insurance.

• 401(k) plan.

• Long-term incentive programs.

• Travel compensation and arrangements related to the field-based position.