Field Reimbursement Manager, Oncology

AbbVie; Columbus (OH); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Paid time off

Medical/dental/vision insurance

401(k)

Long-term incentive programs

Job summary

AbbVie seeks a field-based professional to educate HCPs on patient support programs, access options, and payer policies within a defined territory. You will collaborate with oncology teams to address reimbursement and coverage for specialty therapies.

The role requires solid knowledge of reimbursement dynamics, coding and billing, plus HCIR credentialing. A Bachelor’s degree and valid driver’s license are required, with travel across designated cities in the US.

Qualifications

• Onc/hem-onc experience or related field preferred.
• Knowledge of coverage, billing, reimbursement and payer policies.
• Ability to explain coding and billing requirements at national/regional levels.
• Understanding of Parts A, B, C and D or Medicare reimbursement dynamics.
• Satisfy HCIR credentialing requirements for facilities in the territory.
• Bachelor’s degree and valid driver’s license are required.

Responsibilities

• Educate healthcare providers on patient support programs and reimbursement tools.
• Educate on acquisition and access options like specialty networks and white-bagging.
• Advise on resources to address access issues and payer challenges.
• Provide territory payer policy insights to inform providers and teams.
• Collaborate with oncology stakeholders for key account management.
• Track payer trends and share insights with Patient Services and account teams.
• Establish and maintain provider relationships within the territory.
• Stay current on managed care, reimbursement and policy developments.

Skills

Oncology experience

Payer processes knowledge

Coding & billing knowledge

Medicare/Medicaid understanding

HCIR credentialing

Bachelor’s degree

Driver’s license

Education

Bachelor’s degree

Job 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.

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:

• Lexington, KY
• Cleveland, OH

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 is not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities.
• 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

• The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
• This job is eligible to participate in our long-term incentive programs.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.abbvie.com/join-us/reasonable-accommodations.html