Field Reimbursement Manager, Immunology Gastroenterology - Raleigh, NC
AbbVie
18 days ago
On-site
Raleigh, NC
$139,000 - $250,500 USD yearly
Market Access
This role is field-based; candidates should live within a reasonable distance from the primary city (Raleigh, NC; Chapel Hill, NC; Greensboro, NC; New Bern, NC; Myrtle Beach, SC; Greenville, NC and surrounding areas).
The Immunology Field Reimbursement Manager (FRM) is a specialized in-office resource for healthcare providers (HCPs) in a designated territory, addressing patient access and reimbursement inquiries for AbbVie’s immunology portfolio. Provides expertise on coverage, reimbursement challenges, and use of AbbVie support tools, and educates on prescription status, program eligibility, and payer processes.
Key Responsibilities:
- Educate HCPs (bio coordinators and/or office staff) on AbbVie patient support programs, access and reimbursement tools/services.
- Educate on product acquisition options (specialty pharmacy networks, specialty distribution, and bagging options).
- Educate resources/strategies to address patient access issues.
- Provide localized expertise on national/regional payer policies, utilization management, medical billing/coding updates, and claims submission methodology.
- Collaborate 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 teams.
- Build/maintain provider relationships in the territory.
- Maintain knowledge of managed care, reimbursement, and policy trends.
Qualifications:
- Minimum 3 years’ experience in immunology, or access & reimbursement with market access and payer account management.
- Specialty biologics drug acquisition/dispensing expertise (Buy and Bill, reimbursement analysis, Specialty Pharmacies/Distributors).
- Strong territory/strategic account management; leadership record.
- Functional knowledge of access and reimbursement support service centers.
- Excellent communication and interpersonal skills.
- Ability to communicate coding/billing technical requirements across care settings (Medicare Parts A, B, C and D or Medicare).
- Understanding of rules/regulations/risks for reimbursement support services.
- Ability to build relationships and lead without authority.
- Bachelor’s degree required.
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements.
- Drive personal auto or company vehicle/equipment.
Benefits:
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) for eligible employees.
- Eligible for long-term incentive programs.
The Immunology Field Reimbursement Manager (FRM) is a specialized in-office resource for healthcare providers (HCPs) in a designated territory, addressing patient access and reimbursement inquiries for AbbVie’s immunology portfolio. Provides expertise on coverage, reimbursement challenges, and use of AbbVie support tools, and educates on prescription status, program eligibility, and payer processes.
Key Responsibilities:
- Educate HCPs (bio coordinators and/or office staff) on AbbVie patient support programs, access and reimbursement tools/services.
- Educate on product acquisition options (specialty pharmacy networks, specialty distribution, and bagging options).
- Educate resources/strategies to address patient access issues.
- Provide localized expertise on national/regional payer policies, utilization management, medical billing/coding updates, and claims submission methodology.
- Collaborate 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 teams.
- Build/maintain provider relationships in the territory.
- Maintain knowledge of managed care, reimbursement, and policy trends.
Qualifications:
- Minimum 3 years’ experience in immunology, or access & reimbursement with market access and payer account management.
- Specialty biologics drug acquisition/dispensing expertise (Buy and Bill, reimbursement analysis, Specialty Pharmacies/Distributors).
- Strong territory/strategic account management; leadership record.
- Functional knowledge of access and reimbursement support service centers.
- Excellent communication and interpersonal skills.
- Ability to communicate coding/billing technical requirements across care settings (Medicare Parts A, B, C and D or Medicare).
- Understanding of rules/regulations/risks for reimbursement support services.
- Ability to build relationships and lead without authority.
- Bachelor’s degree required.
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements.
- Drive personal auto or company vehicle/equipment.
Benefits:
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) for eligible employees.
- Eligible for long-term incentive programs.