Field Reimbursement Manager, Immunology Gastroenterology - Rockville, MD
AbbVie
7 hours ago
On-site
Rockville, MD
$139,000 - $250,500 USD yearly
Market Access
Job Description
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, providing expertise on coverage and reimbursement challenges and educating on prescription status, program eligibility, and payer processes.
Key Responsibilities:
- Educate HCPs (bio coordinators and/or office staff) on AbbVie patient support programs, including access and reimbursement tools and services.
- Educate on product acquisition options (specialty pharmacy networks, specialty distribution, and white/brown/clear bagging).
- Educate resources and strategies to address patient access issues.
- Provide localized expertise on national and regional payer policies and utilization management criteria, including updates on medical billing and coding and medical benefit claims submission methodology.
- Collaborate with the 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 account teams.
- Establish and maintain professional relationships with providers in the assigned territory.
- Maintain current knowledge on managed care, reimbursement, and policy trends.
Qualifications:
- Minimum 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
- Expertise in drug acquisition/dispensing in specialty biologics (Buy and Bill, reimbursement analysis, Specialty Pharmacies, Specialty Distributors); immunology a plus.
- Strong territory and strategic account management skills.
- Proven leadership record.
- Functional knowledge of access and reimbursement support service centers.
- Excellent communication and interpersonal skills.
- Ability to communicate technical coding/billing requirements at national and regional levels (Medicare Parts A, B, C, D and associated reimbursement).
- 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 or powered material handling equipment.
Benefits (as stated):
- Paid time off; medical/dental/vision insurance; 401(k); eligible for long-term incentive programs.
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, providing expertise on coverage and reimbursement challenges and educating on prescription status, program eligibility, and payer processes.
Key Responsibilities:
- Educate HCPs (bio coordinators and/or office staff) on AbbVie patient support programs, including access and reimbursement tools and services.
- Educate on product acquisition options (specialty pharmacy networks, specialty distribution, and white/brown/clear bagging).
- Educate resources and strategies to address patient access issues.
- Provide localized expertise on national and regional payer policies and utilization management criteria, including updates on medical billing and coding and medical benefit claims submission methodology.
- Collaborate with the 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 account teams.
- Establish and maintain professional relationships with providers in the assigned territory.
- Maintain current knowledge on managed care, reimbursement, and policy trends.
Qualifications:
- Minimum 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
- Expertise in drug acquisition/dispensing in specialty biologics (Buy and Bill, reimbursement analysis, Specialty Pharmacies, Specialty Distributors); immunology a plus.
- Strong territory and strategic account management skills.
- Proven leadership record.
- Functional knowledge of access and reimbursement support service centers.
- Excellent communication and interpersonal skills.
- Ability to communicate technical coding/billing requirements at national and regional levels (Medicare Parts A, B, C, D and associated reimbursement).
- 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 or powered material handling equipment.
Benefits (as stated):
- Paid time off; medical/dental/vision insurance; 401(k); eligible for long-term incentive programs.