肿瘤学报销经理
Field Reimbursement Manager, Oncology
关于艾伯维
艾伯维的使命是发现并提供创新药物和解决方案，解决当今严重的健康问题，并应对未来的医疗挑战。我们致力于在多个关键治疗领域产生显著影响，包括免疫学、肿瘤学和神经科学——以及我们Allergan Aesthetics产品组合中的产品和服务。有关艾伯维的更多信息，请访问我们的网站 www.abbvie.com。关注我们在LinkedIn、Facebook、Instagram、X和YouTube上的账号。
此职位为现场工作，候选人应居住在主要城市附近。根据经验水平进行招聘。
候选人可居住的城市包括：
· 科罗拉多州丹佛
· 内华达州拉斯维加斯
· 亚利桑那州菲尼克斯
职责：
· 向医疗保健专业人员（HCPs）介绍患者支持项目，包括获取和报销支持工具及服务
· 介绍特定产品的获取和获取选项，如专科药房网络、专科分销和白袋支持
· 介绍可用于解决获取问题的资源
· 提供本地专业知识，以帮助医疗保健提供者了解保险公司政策、编码变更和适当的索赔提交流程
· 与多个肿瘤学内部利益相关者合作，进行重点客户管理
· 向患者服务和MHC客户管理团队报告已批准产品的保险公司趋势
· 在所辖区域内建立并维护与适当医疗提供者的联系
· 保持对关键管理护理、报销和政策活动的最新了解
- 具有肿瘤学和/或血液肿瘤学经验者优先，包括具有医生给药疗法、买断产品、医疗福利报销、专科分销/药房或复杂获取模式的经验。
- 具备对覆盖范围、编码、计费、报销、福利验证、事先授权、申诉、索赔提交、保险公司政策、负担能力支持和患者支持项目运营的理解。
- 具备在国家和地区层面在所有护理环境中的编码和计费要求的技术要素的沟通能力
- 对A、B、C和D部分或医疗保险及其相关的报销动态有全面理解
- 满足所有适用的医疗行业合规要求是该职位的基本要求
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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 www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.
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.
Candidates may live in the following cities:
· Miami, FL
· Tampa, FL
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 in order 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
- 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
- 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.
- Excellent territory and account management skills
- Bachelor’s degree
- Valid driver’s license
- Preferred Qualifications
- 5 or more years of industry experience in access and reimbursement or account management
- Extensive experience educating others on payer processes, requirement for coverage, and other access related situations for specialty medicines
- Strong track record of leadership within current role
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 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 and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html
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