Field Reimbursement Manager, Oncology

🔥 1 minute ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $109.5k - $208.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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AbbVie

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2013

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

AbbVie is a global pharmaceutical company that discovers and delivers innovative medicines and solutions to enhance lives. With a focus on addressing the world's toughest health challenges, AbbVie operates in over 175 countries, providing a wide range of products across areas like immunology, oncology, neuroscience, and aesthetics. Committed to scientific innovation, AbbVie invests heavily in research and development, aiming to produce first-in-class medicines. The company also emphasizes workplace diversity, sustainability, and patient support initiatives, ensuring positive impact for both its patients and the broader community.

📋 Description

• Educate healthcare providers on patient support programs, access and reimbursement support tools and services • Educate providers on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support • Educate providers on resources available to address access issues • Provide local expertise on national and regional payer policies, payer issues, coding changes, and appropriate claims submission processes • Collaborate with Oncology internal stakeholders on key account management • Report payer trends for approved products to Patient Services and MHC account management teams • Establish and maintain relationships with appropriate providers within the territory • Remain current on managed care, reimbursement, and policy activities • Work in a field-based role within a reasonable distance of the primary city • Travel 50% of the time

🎯 Requirements

• Oncology and/or hematology-oncology experience strongly preferred • Experience with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models strongly preferred • 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 of and ability to communicate technical coding and billing requirements at the national and regional level across all settings of care • Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics • Must satisfy all applicable health care industry representative credentialing requirements and be in good standing and/or eligible to obtain these credentials • Excellent territory and account management skills • Bachelor's degree • Valid driver's license • 5 or more years of industry experience in access and reimbursement or account management preferred • Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines preferred • Strong track record of leadership within current role preferred

🏖️ Benefits

• Paid time off (vacation, holidays, sick) • Medical, dental, and vision insurance • 401(k) • Eligibility to participate in long-term incentive programs • Travel: 50% of the time