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 (HCP) inquiries regarding patient access.

• Directly visit HCP offices within a designated geographical area.

• Offer expertise on coverage and prevalent access and reimbursement challenges impacting AbbVie immunology products.

• Inform HCPs about patient support programs and tools and services for access and reimbursement assistance.

• Provide education on acquisition and access options specific to products, including specialty pharmacy networks, specialty distribution, and white-bagging support.

• Share information on resources available to tackle access-related issues.

• Deliver local insights on national and regional payer policies, payer challenges, coding changes, and claims submission processes.

• Collaborate with AbbVie's Access and Reimbursement support center to keep HCPs updated on prescription statuses and program eligibility.

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

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

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

⛳️ Requirements

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

• Comprehensive understanding of technical payer policy processes, systems, and requirements related to coverage, coding, and payment for specialty medications.

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

• Strong grasp 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 the dynamics of associated reimbursement.

• Solid understanding of drug acquisition and dispensing within the immunology specialty biologics sector, including Buy and Bill, specialty pharmacies, and specialty distributors.

• Proficient in access and reimbursement support service centers and compliant engagement practices.

• Exceptional territory and account management abilities.

• Bachelor's degree required.

• Valid driver's license is necessary.

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

• Extensive experience in educating others on payer processes and coverage requirements for specialty medications.

• Proven track record of leadership in the current role.

🏝️ Benefits

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

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.