Field Reimbursement Manager, Oncology

AbbVie • Raleigh, GA

18h • Onsite

About The Position

AbbVie is hiring a field-based Field Reimbursement Manager, Oncology. Candidates should live within a reasonable distance of the primary city; the listed locations are Atlanta, Georgia; Columbia, South Carolina; Raleigh, North Carolina; and Richmond, Virginia. The hiring level will be commensurate with experience. The role educates healthcare providers on patient support programs and access and reimbursement resources, provides local expertise on payer policies and reimbursement processes, and works with internal oncology stakeholders to support key account management and share payer trends.

Requirements

• Bachelor’s degree.
• Valid driver’s license.
• Strong territory and account management skills.
• Demonstrated understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and patient support program operations.
• Strong understanding of, and ability to communicate, technical coding and billing requirements at the national and regional levels across all settings of care.
• Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics.
• Satisfy applicable healthcare industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory, and be in good standing or eligible to obtain the credentials. Requirements may include background checks, drug screens, proof of immunization or vaccination, fingerprinting, and specific state or local licenses.

Nice To Haves

• Oncology and/or hematology-oncology experience, especially with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution or pharmacy, or complex access models.
• Five or more years of industry experience in access and reimbursement or account management.
• Extensive experience educating others on payer processes, coverage requirements, and other access-related situations for specialty medicines.
• Strong track record of leadership within the current role.

Responsibilities

• Educate healthcare providers on patient support programs, including access and reimbursement support tools and services.
• Educate healthcare providers on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support.
• Educate healthcare providers on resources available to address access issues.
• Provide local expertise on national and regional payer policies to educate providers about payer issues, coding changes, and appropriate claims submission processes.
• Collaborate with multiple oncology internal stakeholders on key account management.
• Report payer trends related to approved products to Patient Services and MHC account management teams.
• Establish and maintain relationships with appropriate providers within the territory.
• Remain current on key managed care, reimbursement, and policy activities.

Benefits

• Paid time off, including vacation, holidays, and sick leave.
• Medical, dental, and vision insurance for eligible employees.
• 401(k) for eligible employees.
• Eligible to participate in long-term incentive programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level