Oncology Field Reimbursement & Access Manager

AbbVie; Hartford (CT); On-site; USD 90,000 - 130,000; Full time

Job summary

AbbVie is seeking a field-based oncology access specialist who will educate healthcare providers on patient support programs, access options, and reimbursement pathways. Candidates should live within a reasonable distance of the primary city and may work in Boston or Albany areas.

The role requires deep knowledge of payer policies, coding and billing, and successful collaboration with Oncology teams for key account management. Equal opportunity employer.

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
• HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory
• Excellent territory and account management skills
• Bachelor's degree

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 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

Payer policy knowledge

HCIR credentialing

Account management

Territory management

Education

Bachelor's degree

Job description

AbbVie is seeking a field-based oncology access specialist who will educate healthcare providers on patient support programs, access options, and reimbursement pathways. Candidates should live within a reasonable distance of the primary city and may work in Boston or Albany areas.

The role requires deep knowledge of payer policies, coding and billing, and successful collaboration with Oncology teams for key account management. Equal opportunity employer.