Field Reimbursement Manager – Oncology Access Leader

SmartRecruiters, Inc.; Chicago (IL); On-site; USD 132,000 - 238,000; Full time

Job summary

AbbVie is seeking a field-based professional to educate physicians and providers on access, reimbursement, and payer policies within the Indianapolis region. You will collaborate with oncology stakeholders and establish relationships with providers to support product access and appropriate billing.

Role requires deep knowledge of payer dynamics, coding and billing, and credentialing requirements. The position emphasizes territory management, field travel, and staying current with reimbursement

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 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.
• HCIR credentialing requirements may include background checks, drug screens, immunization proof, fingerprinting, and licenses.
• Excellent territory and account management skills
• Valid driver’s license

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

Job description

AbbVie is seeking a field-based professional to educate physicians and providers on access, reimbursement, and payer policies within the Indianapolis region. You will collaborate with oncology stakeholders and establish relationships with providers to support product access and appropriate billing.

Role requires deep knowledge of payer dynamics, coding and billing, and credentialing requirements. The position emphasizes territory management, field travel, and staying current with reimbursement