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Field Reimbursement Manager, Oncology

AbbVie

Field-based reimbursement manager for oncology products, supporting healthcare providers with patient access programs, payor policies, and claims guidance across Connecticut and Massachusetts territories.

Responsibilities

  • Educate healthcare providers on patient support programs, specialty pharmacy networks, and white-bagging options
  • Advise providers on payor policies, coding changes, and appropriate claims submission processes
  • Collaborate with internal oncology stakeholders for key account management and relationship building
  • Report payer trends and access barriers to Patient Services and account management teams
  • Maintain current knowledge of managed care, reimbursement, and policy developments

Requirements

  • Oncology or hematology-oncology experience with physician-administered or buy-and-bill products
  • Demonstrated expertise in coding, billing, prior authorization, appeals, and payer policy
  • Comprehensive understanding of Medicare Parts A, B, C, and D reimbursement dynamics
  • Ability to communicate technical billing and coding requirements at national and regional levels
  • Valid HCIR healthcare industry representative credentialing eligibility for assigned territory
  • Bachelor's degree and valid driver's license
  • Strong territory and account management skills
Vacancy posted 4 days ago
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