Field Reimbursement Manager, Immunology, Gastroenterology

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

📋 Description

• Serve as an alternative in-office resource for healthcare provider (HCP) inquiries related to patient access.

• Directly contact HCP offices within the designated geographic area.

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

• Provide education on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution.

• Share information on resources available to resolve access challenges.

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

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

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

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

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

⛳️ Requirements

• Minimum of 3 years of experience in the pharmaceutical industry, specifically in Managed Health Care, Payer Account Management, or Access and Reimbursement.

• Prior experience in Immunology is advantageous.

• A bachelor's degree is mandatory.

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

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

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

• Extensive knowledge of Medicare Parts A, B, C, and D, along with the associated reimbursement dynamics.

• Familiarity with drug acquisition and dispensing, including specialty pharmacies, specialty distributors, and white-bagging practices.

• Insight into access and reimbursement support service centers and compliant interaction protocols.

• Strong territory and account management abilities.

• Possession of a valid driver's license and capability to operate a personal or company vehicle.

• Must successfully pass a pre-employment drug screening and meet safe driving criteria.

• Must fulfill applicable HCIR credentialing requirements and maintain good standing or be eligible for credentials.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility for long-term incentive programs.

• Option for remote work arrangements.

• Availability of a company car or truck option.