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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in access and reimbursement processes for immunology products, with a strong understanding of payer policies and coding requirements. Proven ability to educate healthcare providers on patient support programs and reimbursement tools while managing territory relationships effectively.
Highest-signal resume keywords
Immunology ExperienceMarket Access ExpertisePayer Account ManagementAccess And Reimbursement KnowledgeTerritory Management Skills
About the role
Key responsibilities & impact- Act as an alternative in-office resource addressing healthcare provider questions about patient access
- Call directly on healthcare provider offices within an assigned geography
- Answer questions about patient access and reimbursement for AbbVie’s immunology portfolio
- Provide expertise on coverage and access and reimbursement challenges affecting AbbVie immunology products
- Educate healthcare providers on patient support programs, access and reimbursement tools, and services
- Educate on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support
- Educate on resources available to address access issues
- Provide local expertise on national and regional payer policies, payer issues, coding changes, and claims submission processes
- Liaise with AbbVie’s Access and Reimbursement support center regarding prescription status and program eligibility
- Report payer trends for approved products to Patient Services and Market Access account management teams
- Establish and maintain relationships with appropriate providers within the territory
- Remain current on managed care, reimbursement, and policy activities
- Travel approximately 50% of the time
Requirements
What you’ll need- At least 3 years of experience in immunology with experience in Market Access, Payer Account Management, and/or Access and Reimbursement
- Thorough understanding of technical payer policy processes, systems, and requirements for specialty medicine coverage, coding, and payment
- Understanding of rules, regulations, and risks associated with reimbursement support services
- Ability to communicate technical coding and billing requirements at national and regional levels across all care settings
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Understanding of drug acquisition and dispensing in immunology specialty biologics, including Buy and Bill, specialty pharmacies, and specialty distributors
- Understanding of access and reimbursement support service centers and compliant interaction practices
- 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
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines
- Strong track record of leadership within current role
Benefits
Comp & perks- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance
- 401(k)
- Long-term incentive program eligibility
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payer Policy ProcessesCoding RequirementsMedicare Parts A, B, C, And DSpecialty Pharmacy KnowledgeDrug Acquisition And DispensingReimbursement DynamicsPatient Support ProgramsClaims Submission ProcessesAccess Issues ResolutionCoverage Requirements
Soft Skills
Communication SkillsRelationship BuildingLeadership SkillsEducational SkillsAccount Management
Certifications & Qualifications
Bachelor's DegreeValid Driver's License
Industry Keywords
Healthcare ProviderImmunology PortfolioSpecialty MedicineAccess And Reimbursement SupportManaged CarePayer TrendsPatient ServicesMarket AccessCompliance PracticesSpecialty Distributors