Field Reimbursement Manager, Immunology Gastroenterology - Scranton, PA
AbbVie
19 days ago
On-site
Scranton, PA
$139,000 - $250,500 USD yearly
Market Access
Field-based; candidates should live within a reasonable distance of the primary city (Scranton, Binghamton, Elmira, Wilkes-Barre, State College, Harrisburg, Hershey, York, Williamsport, and surrounding areas).
Immunology Field Reimbursement Manager (FRM) provides specialized, in-office support for healthcare providers (HCPs) in a territory. Leads education and support for patient access and reimbursement for AbbVie’s immunology portfolio, including coverage, reimbursement challenges, support tools, 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).
- Provide resources/strategies to address patient access issues.
- Deliver localized expertise on payer policies and utilization management; provide updates on medical billing/coding and claim submission.
- Coordinate with Access and Reimbursement Support Center on prescription status and eligibility updates.
- Report payer trends for approved products to Patient Services and Market Access.
- Build/maintain provider relationships; stay current on managed care/reimbursement/policy trends.
Qualifications:
- 3+ years experience in immunology, or access/reimbursement with market access and payer account management expertise.
- Specialty biologics drug acquisition/dispensing experience (Buy and Bill, reimbursement analysis, specialty pharmacies/distributors).
- Strategic territory/account management abilities; proven leadership.
- Knowledge of access/reimbursement support service centers.
- Strong communication and interpersonal skills.
- Ability to explain coding/billing requirements nationally/regionally (Medicare Parts A, B, C, D).
- Understanding of rules/regulations/risks for reimbursement support services.
- Bachelor’s degree required.
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements; drive personal/company vehicle or powered material handling equipment.
Benefits (explicit): Paid time off; medical/dental/vision insurance; 401(k) for eligible employees; eligibility for long-term incentive programs.
Immunology Field Reimbursement Manager (FRM) provides specialized, in-office support for healthcare providers (HCPs) in a territory. Leads education and support for patient access and reimbursement for AbbVie’s immunology portfolio, including coverage, reimbursement challenges, support tools, 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).
- Provide resources/strategies to address patient access issues.
- Deliver localized expertise on payer policies and utilization management; provide updates on medical billing/coding and claim submission.
- Coordinate with Access and Reimbursement Support Center on prescription status and eligibility updates.
- Report payer trends for approved products to Patient Services and Market Access.
- Build/maintain provider relationships; stay current on managed care/reimbursement/policy trends.
Qualifications:
- 3+ years experience in immunology, or access/reimbursement with market access and payer account management expertise.
- Specialty biologics drug acquisition/dispensing experience (Buy and Bill, reimbursement analysis, specialty pharmacies/distributors).
- Strategic territory/account management abilities; proven leadership.
- Knowledge of access/reimbursement support service centers.
- Strong communication and interpersonal skills.
- Ability to explain coding/billing requirements nationally/regionally (Medicare Parts A, B, C, D).
- Understanding of rules/regulations/risks for reimbursement support services.
- Bachelor’s degree required.
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements; drive personal/company vehicle or powered material handling equipment.
Benefits (explicit): Paid time off; medical/dental/vision insurance; 401(k) for eligible employees; eligibility for long-term incentive programs.