Field Reimbursement Manager, Immunology Gastroenterology - Denver North
AbbVie
14 hours ago
On-site
Denver, CO
$139,000 - $250,500 USD yearly
Market Access
The Immunology Field Reimbursement Manager (FRM) functions as a specialized in-office resource for healthcare providers (HCPs) within a designated geographic territory. The FRM engages directly with HCP offices to address patient access and reimbursement inquiries related to AbbVie’s immunology portfolio, delivering expertise on coverage, reimbursement challenges, and use of AbbVie support tools, and educating on prescription status, program eligibility, and payer processes.
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 options).
- Educate resources/strategies to address patient access issues.
- Provide localized expertise on national/regional payer policies, utilization management criteria, including medical billing/coding updates and claims submission methodology.
- Collaborate with AbbVie’s 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 teams.
- Establish and maintain professional relationships with providers in the territory.
- Maintain current knowledge on managed care, reimbursement, and policy trends.
Qualifications:
- Minimum of 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
- Expertise in drug acquisition/dispensing for specialty biologics (Buy and Bill, reimbursement analysis, specialty pharmacies/distributors).
- Exceptional territory/strategic account management abilities; proven leadership.
- Functional knowledge of access and reimbursement support service centers.
- Excellent oral/written/presentation and interpersonal skills.
- Strong understanding of coding/billing requirements (Medicare Parts A, B, C and D) and related reimbursement dynamics.
- Knowledge of rules/regulations/risks for reimbursement support services.
- Ability to build relationships, collaborate with stakeholders, and lead without authority.
- Bachelor’s degree required.
- Valid driver’s license; pass pre-employment drug screening; meet safe driving requirements.
Benefits:
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) to eligible employees.
- Eligible for long-term incentive programs.
Application instructions:
- Candidates should live within a reasonable distance of the primary city (field-based territory: northern Denver, Boulder, Wyoming—primarily Cheyenne and Casper and surrounding areas).
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 options).
- Educate resources/strategies to address patient access issues.
- Provide localized expertise on national/regional payer policies, utilization management criteria, including medical billing/coding updates and claims submission methodology.
- Collaborate with AbbVie’s 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 teams.
- Establish and maintain professional relationships with providers in the territory.
- Maintain current knowledge on managed care, reimbursement, and policy trends.
Qualifications:
- Minimum of 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
- Expertise in drug acquisition/dispensing for specialty biologics (Buy and Bill, reimbursement analysis, specialty pharmacies/distributors).
- Exceptional territory/strategic account management abilities; proven leadership.
- Functional knowledge of access and reimbursement support service centers.
- Excellent oral/written/presentation and interpersonal skills.
- Strong understanding of coding/billing requirements (Medicare Parts A, B, C and D) and related reimbursement dynamics.
- Knowledge of rules/regulations/risks for reimbursement support services.
- Ability to build relationships, collaborate with stakeholders, and lead without authority.
- Bachelor’s degree required.
- Valid driver’s license; pass pre-employment drug screening; meet safe driving requirements.
Benefits:
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) to eligible employees.
- Eligible for long-term incentive programs.
Application instructions:
- Candidates should live within a reasonable distance of the primary city (field-based territory: northern Denver, Boulder, Wyoming—primarily Cheyenne and Casper and surrounding areas).