Field Reimbursement Manager, Immunology Dermatology

AbbVie • Pittsburgh, PA

11h • Onsite

About The Position

The Immunology Field Reimbursement Manager is a field-based resource who calls directly on healthcare provider (HCP) offices within an assigned geography to address questions about patient access and reimbursement in support of AbbVie’s immunology portfolio. The role provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology products.

The manager educates HCP offices about access and reimbursement support tools, patient support programs, payer processes, product-specific acquisition and access options, and resources for addressing access issues. The role also advises HCPs on prescription status and program eligibility, provides local insight on payer policies and claims processes, shares payer trends with internal teams, and builds relationships with providers across the territory. Candidates should live within a reasonable distance of Pittsburgh, Pennsylvania.

Requirements

• At least 3 years of experience in immunology, with experience in Market Access, Payer Account Management, and/or Access and Reimbursement.
• Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines.
• Demonstrated understanding of the rules, regulations, and risks associated with providing reimbursement support services.
• Strong understanding of and ability to communicate technical coding and billing requirements at the national and regional levels across care settings.
• Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics.
• Strong understanding of drug acquisition and dispensing in the immunology specialty biologics space, including buy-and-bill, specialty pharmacies, and specialty distributors.
• Strong understanding of access and reimbursement support service centers and how to interact with them compliantly.
• Excellent territory and account management skills.
• Bachelor’s degree.
• Valid driver’s license.

Nice To Haves

• 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 HCPs on patient support programs, including access and reimbursement support tools and services.
• Educate HCPs on product-specific acquisition and access options, such as specialty pharmacy networks, specialty distribution, and white-bagging support.
• Educate HCPs on resources available to address access issues.
• Provide local expertise on national and regional payer policies, including payer issues, coding changes, and appropriate claims submission processes.
• Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on prescription status and program eligibility.
• Report payer trends for approved products to Patient Services and Market Access 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.
• 401(k).
• Eligibility to participate in long-term incentive programs.

What This Job Offers

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