Field Reimbursement Manager, Oncology
AbbVie · Columbus, OH · 1 mo 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 need to include only sections with real specific content.
We have company description (About AbbVie) but not required heading? Could be "About the role" but we have company description. The instruction: use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but likely they expect those headings only. However we can include a paragraph for company description without heading.
We need to extract responsibilities list, qualifications list, etc.
Let's parse:
Company Description: About AbbVie ... (we keep as paragraph).
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: Lexington, KY Cleveland, OH
Responsibilities: list bullet points.
Qualifications: paragraphs.
Preferred Qualifications: list.
Additional Information: includes pay range description, benefits, etc.
We need to include sections only if real specific content.
We have Responsibilities: yes.
We have Qualifications: yes (includes Oncology experience etc). Could be under "Qualifications" heading.
We have Preferred Qualifications: could be under "Skills" or "Qualifications"? Might be separate "Preferred Qualifications". But we can combine under "Qualifications" maybe. But instruction: prefer few substantive sections over many thin ones. So we could have "Qualifications" covering both required and preferred.
We have Benefits: yes: "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 have Pay: The posting includes compensation range description but says "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...". However no actual numbers given. It says range described below but not provided. So we have no specific pay numbers. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state benefits (yes). For Pay, it mentions compensation range but no actual numbers; it's vague. It says "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." No actual numbers given. So we should not create a Pay section because no specific numbers. Similarly Schedule: not mentioned.
Thus sections: Responsibilities, Qualifications (including required and preferred), Benefits.
Also maybe "About AbbVie" as a paragraph without heading.
We need to preserve all substantive information: include company description, location info, role field-based, talent hired at level commensurate with experience (but that's vague; we should keep it). Also mention candidates may live in Lexington, KY Cleveland, OH.
We need to format responsibilities as
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Do NOT repeat the job title as a heading. We can include "About AbbVie" maybe as a paragraph? Not a heading? Could be considered "About the role"? But we have company description; we could put it under a
without heading, or maybe under
About AbbVie
but not in list. The instruction says use those headings for sections; but we can also have other headings? It says use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but likely they expect those headings only. However we can include a paragraph for company description without heading.
We need to extract responsibilities list, qualifications list, etc.
Let's parse:
Company Description: About AbbVie ... (we keep as paragraph).
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: Lexington, KY Cleveland, OH
Responsibilities: list bullet points.
Qualifications: paragraphs.
Preferred Qualifications: list.
Additional Information: includes pay range description, benefits, etc.
We need to include sections only if real specific content.
We have Responsibilities: yes.
We have Qualifications: yes (includes Oncology experience etc). Could be under "Qualifications" heading.
We have Preferred Qualifications: could be under "Skills" or "Qualifications"? Might be separate "Preferred Qualifications". But we can combine under "Qualifications" maybe. But instruction: prefer few substantive sections over many thin ones. So we could have "Qualifications" covering both required and preferred.
We have Benefits: yes: "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 have Pay: The posting includes compensation range description but says "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...". However no actual numbers given. It says range described below but not provided. So we have no specific pay numbers. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state benefits (yes). For Pay, it mentions compensation range but no actual numbers; it's vague. It says "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." No actual numbers given. So we should not create a Pay section because no specific numbers. Similarly Schedule: not mentioned.
Thus sections: Responsibilities, Qualifications (including required and preferred), Benefits.
Also maybe "About AbbVie" as a paragraph without heading.
We need to preserve all substantive information: include company description, location info, role field-based, talent hired at level commensurate with experience (but that's vague; we should keep it). Also mention candidates may live in Lexington, KY Cleveland, OH.
We need to format responsibilities as - . Qualifications as
- maybe separate required and preferred? Could combine but we need to keep all details. Let's list required qualifications bullet points, then preferred qualifications bullet points.
We need to avoid boilerplate: remove EEO, equal-opportunity, scam-warning, navigation, cookie, legal, duplicated lines, application instructions. Also remove "to AbbVie has resources to answer questions you may have regarding your responsibilities." That seems garbled; but it's part of qualifications? Actually sentence: "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." That seems weird; we keep the part about HCIR credentialing requirements and responsibility. The "to AbbVie has resources..." is likely a fragment; we keep as is? It's part of the posting; we should keep substantive info. It says "to AbbVie has resources to answer questions you may have regarding your responsibilities." We'll keep that sentence.
Also remove "Additional Information" heading? We'll keep content under Benefits maybe.
We need to output only HTML fragment.
Let's craft:
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: Lexington, KY; Cleveland, OH.
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. 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
Benefits
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k) for eligible employees
- Eligibility to participate in long-term incentive programs
We need to ensure we didn't include Pay or Schedule sections. Good.
Check for any leftover boilerplate: removed EEO, equal opportunity, etc. Also removed "Note: No amount of pay is considered to be wages..." etc. That's pay-related boilerplate; we removed because we didn't include Pay section. However that note is about pay; but we are not including Pay section, but the note is still part of posting; should we keep it? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The note about pay is legal boilerplate; we should remove it. So we omitted it.
Also removed "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." That's pay-related boilerplate; we removed.
Also removed "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 kept that as benefits.
Also removed "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." That's pay boilerplate; removed.
Also removed EEO statements at end.
Now ensure we didn't miss any substantive info: The location list: "Candidates may live in the following cities: Lexington, KY Cleveland, OH". We formatted as "Lexington, KY; Cleveland, OH." Good.
The company description: we kept.
The role field-based etc.
The responsibilities list: we kept all.
Qualifications: we kept all bullet points; we combined some sentences into bullet; ensure we didn't lose any nuance. Let's verify each piece:
Original qualifications paragraph:
"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
- maybe separate required and preferred? Could combine but we need to keep all details. Let's list required qualifications bullet points, then preferred qualifications bullet points.
We need to avoid boilerplate: remove EEO, equal-opportunity, scam-warning, navigation, cookie, legal, duplicated lines, application instructions. Also remove "to AbbVie has resources to answer questions you may have regarding your responsibilities." That seems garbled; but it's part of qualifications? Actually sentence: "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." That seems weird; we keep the part about HCIR credentialing requirements and responsibility. The "to AbbVie has resources..." is likely a fragment; we keep as is? It's part of the posting; we should keep substantive info. It says "to AbbVie has resources to answer questions you may have regarding your responsibilities." We'll keep that sentence.
Also remove "Additional Information" heading? We'll keep content under Benefits maybe.
We need to output only HTML fragment.
Let's craft:
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: Lexington, KY; Cleveland, OH.
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. 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
Benefits
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k) for eligible employees
- Eligibility to participate in long-term incentive programs