Immunology Field Reimbursement Manager - Gastroenterology - Boston, MA Job at AbbVie, Boston, MA

WWtNaGFUYk8zd1ZObTBjNXRvbmFnVkpRZ0E9PQ==
  • AbbVie
  • Boston, MA

Job Description



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 – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at  . Follow @abbvie on  X ,  Facebook ,  Instagram ,  YouTube ,  LinkedIn and  Tik Tok .

Job Description



"This role is field-based, and candidates should live within a reasonable distance from the primary city."

The geography includes the following cities:

  • Boston, MA

The Immunology Field Reimbursement Manager – Gastroenterology acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the assigned portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting assigned AbbVie products. The FRM responsibilities include educating on the access and reimbursement support tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.

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 and specialty distribution
  • 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
  • Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
  • 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

Qualifications

  • At least 3 years of pharma industry experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
  • Previous experience working within Immunology a plus 
  • Bachelor’s degree required
  • Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines
  • Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
  • 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
  • Strong understanding of drug acquisition and dispensing (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.)
  • Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
  • Excellent territory and account management skills
  • Driving a personal auto or company car or truck, or a powered piece of material handling equipment
  • Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
  • An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials.
  • These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities.

 

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 this posting 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 short-term incentive programs. ​

  • 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 and until 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, serving our community and embracing diversity and inclusion. It is AbbVie’s policy to employ qualified persons of the greatest ability without discrimination against any employee or applicant for employment because of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information, gender identity or expression, sexual orientation, marital status, status as a protected veteran, or any other legally protected group status.

US & Puerto Rico only - to learn more, visit  

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

Job Tags

Holiday work, Full time, Temporary work, Local area,

Similar Jobs

Concentra

Medical Review Coordinator Job at Concentra

 ...Position Summary Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with... 

Prep Network

Prep Dig Admissions/Check-In Worker Job at Prep Network

Company Overview Prep Dig is one of the country's best and most popular volleyball events operators hosting over 20 total tournaments and showcases, we specialize in premium experience for club programs and players at all levels of competition. Job Summary You...

Amazon.com Services LLC

Strategic Supply Chain Manager, Amazon Fresh Job at Amazon.com Services LLC

 ...DESCRIPTION The Amazon Fresh Grocery team is excited to welcome a Strategic Supply Chain Manager to our dynamic team, based in New York. Join us at Amazon Fresh Grocery in reshaping the future of the online and in-store grocery experience. Your expertise will drive... 

Basant Company

Line Cook Indian Restaurant Job at Basant Company

We have an immediate sous chef opening for an upscale casual dining Indian restaurant located in the North Center, Chicago, IL. Job responsibilities are: - Ensure that all food items are prepared as per standard recipes - To assist the Head Chef in maintaining the... 

EZAIGC(J)

Technical Recruiter Job at EZAIGC(J)

Experience in Full-life Cycle Recruiting and HiringProficiency in Employer Branding and InterviewingStrong recruiting skills and techniquesExcellent communication and interpersonal abilitiesAbility to work effectively in a fast-paced environmentKnowledge of the tech...