Oncology Access & Reimbursement Lead

AbbVie; Omaha (NE); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

401(k)

Long-term incentive programs

Job summary

AbbVie is seeking a field-based healthcare access professional to educate HCPs on patient support programs, reimbursement options, and payer policies within the Omaha region. You will collaborate with oncology stakeholders to align with national and regional payor requirements and support product access.

Qualifications include oncology experience, a bachelor’s degree, and strong account management skills. This role offers opportunities in a dynamic, results-driven environment with robust

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 credentialing requirements to gain and maintain entry into facilities and organizations in your territory.

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

Skills

Oncology experience

Payor policies knowledge

Provider education

Education

Bachelor's degree

Job description

AbbVie is seeking a field-based healthcare access professional to educate HCPs on patient support programs, reimbursement options, and payer policies within the Omaha region. You will collaborate with oncology stakeholders to align with national and regional payor requirements and support product access.

Qualifications include oncology experience, a bachelor’s degree, and strong account management skills. This role offers opportunities in a dynamic, results-driven environment with robust