Field Reimbursement Manager, Oncology

Field Reimbursement Manager, Oncology

Salt Lake City, UT

• Function: Commercial
• Work location type: Remote
• Job Type: Full-time
• Job ID: R00151088

Company Description About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description 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.

Candidates may live in the following cities:

• Denver, CO
• Las Vegas, NV
• Phoenix, AZ

Responsibilities

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

Qualifications

• Oncology and/or hematology-oncology experience strongly preferred, including experience with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models

• 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 and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care

• Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics

• An essential requirement of your position is to satisfy all applicable health care industry representative HCIR credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials

• These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. You are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so

• Excellent territory and account management skills

• Bachelor’s degree

• Valid driver’s license

• Preferred Qualifications

• 5 or more years of industry experience in access and reimbursement or account management

• Extensive experience educating others on payer processes, requirement for coverage, and other access related situations for specialty medicines

• Strong track record of leadership within current role

• Additional Information

• Travel: Yes, 50% of the Time

• Pay Range: $109,500 - 208,500 USD

• Where We Work

• Role is not performed at a site or office and requires limited or no travel to a site or office.