Field Reimbursement Manager, Oncology

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

📋 Description

• Provide education to healthcare providers regarding patient support programs, 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.

• Advise providers on available resources to tackle access challenges.

• Offer local insights on national and regional payer policies, payer issues, coding changes, and the proper processes for claims submission.

• Collaborate with internal stakeholders in Oncology for effective key account management.

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

• Build and maintain relationships with relevant providers in the designated territory.

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

• Operate in a field-based role with approximately 75% travel required.

• Represent AbbVie, a company committed to discovering and delivering medicines and solutions that tackle serious health issues in oncology, immunology, neuroscience, and aesthetics.

⛳️ Requirements

• Prior experience in oncology and/or hematology-oncology is strongly preferred.

• Familiarity with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models is preferred.

• Proven understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and operations of patient support programs.

• Strong ability to communicate technical aspects of coding and billing requirements at both National and Regional levels across various care settings.

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

• Must fulfill all relevant healthcare industry representative credentialing requirements and maintain good standing, or be eligible to obtain these credentials.

• Excellent skills in territory and account management.

• A bachelor's degree is required.

• A valid driver's license is necessary.

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

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

• A strong record of leadership within the current role is preferred.

• Candidates should reside within a reasonable distance from the primary city.

• Candidates may be located in Indianapolis, IN, or Chicago, IL.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Long-term incentive programs.

• Travel is required approximately 75% of the time.