Field Reimbursement Manager, Immunology Gastroenterology - LA North/Central Valley

Job Description

Job Description

Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at  Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers south to Thousand Oaks, north to Stockton, Salinas, and Santa Cruz, east to the CA border, along the coast, Fresno, Bakersfield, and the surrounding areas.

The Immunology Field Reimbursement Manager (FRM) functions as a specialized in-office resource for healthcare providers (HCPs) within a designated geographic territory. The FRM engages directly with HCP offices to address patient access and reimbursement inquiries related to AbbVie’s immunology portfolio. This role delivers expertise regarding coverage, reimbursement challenges, and the utilization of AbbVie’s support tools, while also educating on patient prescription status, program eligibility, and payer processes.

Key Responsibilities:

• Educate HCPs including bio coordinators and/or office staff on AbbVie patient support programs, including access and reimbursement tools and services.
• Educate on product acquisition options such as specialty pharmacy networks, specialty distribution, and white, brown, and clear bagging.
• Educate resources and strategies to address patient access issues.
• Offer localized expertise on national and regional payer policies, utilization management criteria, including updates on medical billing and coding and medical benefit claims submission methodology.
• Collaborate with AbbVie’s Access and Reimbursement Support Center to relay prescription status and program eligibility updates.
• Report back payer trends for approved products to Patient Services and Market Access account teams.
• Establish and maintain professional relationships with providers within the assigned territory.
• Maintain current knowledge on managed care, reimbursement, and policy trends.

Qualifications

• Minimum of 3 years’ experience in immunology, or access and reimbursement with expertise in market access and payer account management.
• Demonstrate expertise in drug acquisition and dispensing in specialty biologics, immunology a plus (Buy and Bill, reimbursement analysis, Specialty Pharmacies, Specialty Distributors).
• Exceptional territory and strategic account management abilities including process mastery, customer engagement, strategic mindset, collaboration, and market dynamics.
• Proven leadership record within current role.
• Functional knowledge of access and reimbursement support service centers.
• Excellent communication (oral, written, and presentation) and interpersonal skills.
• Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care including Medicare Parts A, B, C and D or Medicare and associated reimbursement dynamic.
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services.
• Demonstrate the ability to quickly build relationships and collaboration with internal/external key stakeholders and lead without authority.
• The position is classified as grade 18 or 19, depending on the candidate’s qualifications, experience, and skills.
• Bachelor’s degree is required.
• Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
• Driving a personal auto or company car or truck, or a powered piece of material handling equipment. 

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: ​

• The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location,and we may ultimately pay more or less than the posted range. This range may be modified in the future. ​

• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick),  medical/dental/vision insurance and 401(k) to eligible employees.​

• This job is eligible to participate in our long-term incentive programs. ​

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus,  commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless anduntil paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community.  Equal Opportunity Employer/Veterans/Disabled.  

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