Field Reimbursement Manager, Immunology Gastroenterology - Albany, NY
About The Position
This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers covers the capital district of Albany, Vermont, Poughkeepsie, White Plains, Yonkers, Utica, and the surrounding areas. 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. This role delivers expertise regarding coverage, reimbursement challenges, and the utilization of AbbVie’s support tools, while also educating on patient prescription status, program eligibility, and payer processes.
Requirements
- Minimum of 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
- Demonstrate expertise in drug acquisition and dispensing in specialty biologics, immunology a plus (Buy and Bill, reimbursement analysis, Specialty Pharmacies, Specialty Distributors).
- Exceptional territory and strategic account management abilities including process mastery, customer engagement, strategic mindset, collaboration, and market dynamics.
- Proven leadership record within current role.
- Functional knowledge of access and reimbursement support service centers.
- Excellent communication (oral, written, and presentation) and interpersonal skills.
- Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care including Medicare Parts A, B, C and D or Medicare and associated reimbursement dynamic.
- Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services.
- Demonstrate the ability to quickly build relationships and collaboration with internal/external key stakeholders and lead without authority.
- Bachelor’s degree is required.
- Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
- Driving a personal auto or company car or truck, or a powered piece of material handling equipment.
Responsibilities
- Educate HCPs including bio coordinators and/or office staff on AbbVie patient support programs, including access and reimbursement tools and services.
- Educate on product acquisition options such as specialty pharmacy networks, specialty distribution, and white, brown, and clear bagging.
- Educate resources and strategies to address patient access issues.
- Offer localized expertise on national and regional payer policies, utilization management criteria, including updates on medical billing and coding and medical benefit claims submission methodology.
- Collaborate with AbbVie’s Access and Reimbursement Support Center to relay prescription status and program eligibility updates.
- Report back payer trends for approved products to Patient Services and Market Access account teams.
- Establish and maintain professional relationships with providers within the assigned territory.
- Maintain current knowledge on managed care, reimbursement, and policy trends.
Benefits
- paid time off (vacation, holidays, sick)
- medical/dental/vision insurance
- 401(k)
- long-term incentive programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
