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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in oncology and hematology-oncology, with a strong understanding of reimbursement processes, coding, and billing requirements. Proven ability to educate healthcare professionals on patient support programs and establish relationships with providers while managing accounts effectively.
Highest-signal resume keywords
Oncology ExperienceMedical Benefit ReimbursementCoding and Billing RequirementsAccount Management SkillsHCIR Credentialing
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Support Program OperationsPrior AuthorizationClaims SubmissionBenefit VerificationPayer Policy UnderstandingAffordability SupportSpecialty DistributionCoding ChangesPayer Trends ReportingAccess Issues Resolution
Soft Skills
Territory ManagementCollaborationRelationship BuildingEducation and TrainingLeadership
Certifications & Qualifications
HCIR Credentials
Industry Keywords
OncologyHematology-OncologySpecialty Pharmacy NetworksBuy-and-Bill ProductsManaged CarePayer IssuesMedicare Parts A, B, C, DAccess ModelsHealthcare Industry RepresentativeField-Based Role
About the role
Key responsibilities & impact- Educate healthcare professionals on patient support programs, access and reimbursement support tools, and services
- Educate providers on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support
- Educate providers on resources addressing access issues
- Provide local expertise on national and regional payer policies, payer issues, coding changes, and appropriate claims submission processes
- Collaborate with Oncology internal stakeholders on key account management
- Report payer trends for approved products to Patient Services and MHC 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
- Work in a field-based role while living within a reasonable distance of the primary city
Requirements
What you’ll need- Oncology and/or hematology-oncology experience strongly preferred
- Experience with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models strongly preferred
- 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 of coding and billing requirements at national and regional levels across all settings of care
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Must satisfy all applicable health care industry representative (HCIR) credentialing requirements
- Must be in good standing and/or eligible to obtain required HCIR credentials
- 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 preferred
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines preferred
- Strong track record of leadership within current role preferred
Benefits
Comp & perks- Paid time off (vacation, holidays, sick)
- Medical, dental, and vision insurance
- 401(k)
- Eligibility to participate in long-term incentive programs
- Travel reimbursement or related travel support may apply for the 50% travel requirement
- Health care industry credentialing resources from AbbVie
