Field Reimbursement Manager, Immunology Gastroenterology - Albany, NY
AbbVie
18 days ago
On-site
Poughkeepsie, NY
$139,000 - $250,500 USD yearly
Market Access
Field-based; candidates should live within a reasonable distance from the primary city (Albany, Vermont; Poughkeepsie; White Plains; Yonkers; Utica and surrounding areas).
Immunology Field Reimbursement Manager (FRM)
Key Responsibilities:
- Educate HCPs (including bio coordinators/office staff) on AbbVie patient support programs, access and reimbursement tools/services.
- Educate on product acquisition options (specialty pharmacy networks, specialty distribution, bagging).
- Provide resources/strategies to address patient access issues.
- Deliver localized expertise on payer policies and utilization management, including medical billing/coding and claims submission methodology.
- Partner with AbbVie Access and Reimbursement Support Center to relay prescription status and program eligibility updates.
- Report payer trends for approved products to Patient Services and Market Access.
- Establish/maintain provider relationships in the territory.
- Maintain current knowledge of managed care, reimbursement, and policy trends.
Qualifications:
- 3+ years’ experience in immunology, or access and reimbursement with market access/payer account management expertise.
- Expertise in specialty biologics drug acquisition/dispensing (Buy and Bill, reimbursement analysis, specialty pharmacies/distributors).
- Strategic/territory account management and process mastery.
- Proven leadership in current role.
- Functional knowledge of access and reimbursement support service centers.
- Strong communication and interpersonal skills; ability to explain coding/billing technicalities nationally/regionally (Medicare Part A/B/C/D).
- Understanding of rules/risks for providing reimbursement support services.
- Bachelor’s degree required.
- Valid driver’s license; ability to pass pre-employment drug screening; drive personal/company vehicle or powered material handling equipment.
Benefits (as stated): Paid time off; medical/dental/vision insurance; 401(k) (eligible employees); eligible for long-term incentive programs.
Immunology Field Reimbursement Manager (FRM)
Key Responsibilities:
- Educate HCPs (including bio coordinators/office staff) on AbbVie patient support programs, access and reimbursement tools/services.
- Educate on product acquisition options (specialty pharmacy networks, specialty distribution, bagging).
- Provide resources/strategies to address patient access issues.
- Deliver localized expertise on payer policies and utilization management, including medical billing/coding and claims submission methodology.
- Partner with AbbVie Access and Reimbursement Support Center to relay prescription status and program eligibility updates.
- Report payer trends for approved products to Patient Services and Market Access.
- Establish/maintain provider relationships in the territory.
- Maintain current knowledge of managed care, reimbursement, and policy trends.
Qualifications:
- 3+ years’ experience in immunology, or access and reimbursement with market access/payer account management expertise.
- Expertise in specialty biologics drug acquisition/dispensing (Buy and Bill, reimbursement analysis, specialty pharmacies/distributors).
- Strategic/territory account management and process mastery.
- Proven leadership in current role.
- Functional knowledge of access and reimbursement support service centers.
- Strong communication and interpersonal skills; ability to explain coding/billing technicalities nationally/regionally (Medicare Part A/B/C/D).
- Understanding of rules/risks for providing reimbursement support services.
- Bachelor’s degree required.
- Valid driver’s license; ability to pass pre-employment drug screening; drive personal/company vehicle or powered material handling equipment.
Benefits (as stated): Paid time off; medical/dental/vision insurance; 401(k) (eligible employees); eligible for long-term incentive programs.