Field Reimbursement Manager, Oncology
AbbVie · Minneapolis, MN · 4 wk ago
FinanceFull-time
We need to output HTML fragment with sections: About the role? Actually we need to use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real content.
We have company description (About AbbVie) but not required heading? Could be "About the role" maybe not; but we have "Company Description About AbbVie". That could be considered "About the role"? Actually it's about company. The instruction: use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can include "About the role" heading with company description? Might be okay. But we also have "Job Description" which includes responsibilities etc. We'll produce sections: About the role (company description), Responsibilities, Qualifications (including required and preferred), Benefits (benefits described), Pay (compensation range), maybe Schedule not present, so omit.
We must not repeat job title as heading. No Job ID.
We must remove boilerplate: EEO, equal opportunity, accommodation links, etc. Also remove "Additional Information" about pay disclosure? Actually that includes compensation range and benefits; we need to keep that info but strip the legal disclaimer? We can keep the compensation range and benefits description but remove the note about "Note: No amount of pay is considered to be wages..." etc. Also remove "AbbVie is an equal opportunity employer..." etc.
We must preserve all substantive information. So keep company description, responsibilities list, qualifications (required and preferred), benefits description, compensation range.
We must not invent or summarize away detail. Keep specifics.
Let's extract:
Company 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 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."
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. Candidates may live in the following cities: Green Bay, WI Omaha, NE"
Responsibilities list (bullet points):
- 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
Qualifications (required):
- 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
Additional Information (benefits and pay):
- 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.
We need to extract actual numbers? Not given. So we cannot create Pay section with numbers because not specified. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state benefits and compensation range (though no numbers). It says "The compensation range described below is the range of possible base pay compensation..." but does not give actual numbers. It's still stating that there is a range, but not providing numbers. Is that considered stating them? It says "the compensation range described below is the range..." but no actual numbers follow. Might be considered placeholder. The instruction: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD"). So if we put Pay heading but no actual numbers, that would be filler. So we should not create Pay section because no specific numbers. Benefits: they list specific benefits: paid time off, medical/dental/vision insurance, 401(k), long-term incentive programs. That's substantive. So we can include Benefits section.
Schedule: not present, omit.
Thus sections: About the role (company description), Responsibilities, Qualifications (maybe split into Requirements and Preferred Qualifications? But we can combine under Qualifications heading with subheadings? The instruction only allows those headings; we could have Qualifications heading and then list both required and preferred within. Or we could have Requirements and Preferred Qualifications as separate headings? Not in the list but we could use Qualifications for required and maybe Skills for preferred? But better to follow instruction: use headings from list; we can have Qualifications for required, and maybe Skills for preferred? However preferred qualifications are still qualifications. Could combine.
We must not invent sections. So we will have:
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can include "About the role" heading with company description? Might be okay. But we also have "Job Description" which includes responsibilities etc. We'll produce sections: About the role (company description), Responsibilities, Qualifications (including required and preferred), Benefits (benefits described), Pay (compensation range), maybe Schedule not present, so omit.
We must not repeat job title as heading. No Job ID.
We must remove boilerplate: EEO, equal opportunity, accommodation links, etc. Also remove "Additional Information" about pay disclosure? Actually that includes compensation range and benefits; we need to keep that info but strip the legal disclaimer? We can keep the compensation range and benefits description but remove the note about "Note: No amount of pay is considered to be wages..." etc. Also remove "AbbVie is an equal opportunity employer..." etc.
We must preserve all substantive information. So keep company description, responsibilities list, qualifications (required and preferred), benefits description, compensation range.
We must not invent or summarize away detail. Keep specifics.
Let's extract:
Company 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 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."
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. Candidates may live in the following cities: Green Bay, WI Omaha, NE"
Responsibilities list (bullet points):
- 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
Qualifications (required):
- 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
Additional Information (benefits and pay):
- 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.
We need to extract actual numbers? Not given. So we cannot create Pay section with numbers because not specified. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state benefits and compensation range (though no numbers). It says "The compensation range described below is the range of possible base pay compensation..." but does not give actual numbers. It's still stating that there is a range, but not providing numbers. Is that considered stating them? It says "the compensation range described below is the range..." but no actual numbers follow. Might be considered placeholder. The instruction: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD"). So if we put Pay heading but no actual numbers, that would be filler. So we should not create Pay section because no specific numbers. Benefits: they list specific benefits: paid time off, medical/dental/vision insurance, 401(k), long-term incentive programs. That's substantive. So we can include Benefits section.
Schedule: not present, omit.
Thus sections: About the role (company description), Responsibilities, Qualifications (maybe split into Requirements and Preferred Qualifications? But we can combine under Qualifications heading with subheadings? The instruction only allows those headings; we could have Qualifications heading and then list both required and preferred within. Or we could have Requirements and Preferred Qualifications as separate headings? Not in the list but we could use Qualifications for required and maybe Skills for preferred? But better to follow instruction: use headings from list; we can have Qualifications for required, and maybe Skills for preferred? However preferred qualifications are still qualifications. Could combine.
We must not invent sections. So we will have:
About the role
company description...
Responsibilities
- ...
Qualifications
- ...
Benefits
- ...
About the role
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.
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
Qualifications
- 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
- 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
Benefits
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k)