Area Program Manager, Immunology/Oncology Field Access Specialist (West)

Los Angeles, CA, US
Sep 15, 2018
Required Education
Bachelors Degree
Position Type
Full time
The Field Access Specialist Area Program Manager will provide oversight and strategic direction to a contracted vendor supplying a team of Field Access Specialists (FAS) who educate HCPs on the Immunology/Oncology patient experience programs, focusing on access and reimbursement support. The Area Program Manager is expected to have deep market access expertise in order to help ensure the FAS program works compliantly and effectively to provide field access and reimbursement support for the full Abbvie Immunology and Oncology Portfolio.

The FAS Area Program Manager must have demonstrated deep technical understanding of coverage, coding, payment and distribution of specialty products and the rules and regulations that govern provision of reimbursement support. The primary responsibility of the FAS Area Program Manager is to work directly with the third party vendor to ensure the team of FAS effectively engages customers to understand key coverage, coding, payment, product acquisition and affordability dynamics for AbbVie products in their local geography. The FAS Area Program Manager will spend the majority of time working with the contracted vendor team leads and conducting periodic ride-alongs to ensure the FAS is effectively leveraging the tools and materials provided by Abbvie. In addition, the FAS Area Program Manager will help implement and monitor quality control measures to ensure all team members are in compliance with AbbVie expectations and ways of working.

The FAS Area Program Manager must effectively and compliantly engage with a team of internal stakeholders, including Patient Services and Managed Health Care, as well as a contracted HUB vendor providing access and reimbursement support.

Key responsibilities:
  • Work with the third-party vendor to confirm they hire qualified team members
  • Assist vendor in developing FAS skills while optimizing their ability to provide effective access support to HCPs
  • Ensure team compliance with the appropriate ways of working and Abbvie rules of engagement
  • Manage the vendor to ensure that relevant customer insights are shared with AbbVie to support of development of effective access strategies and solutions
  • Work with cross-functional partners to educate customers on AbbVie patient access and support programs as established by Patient Services
  • Ensure the vendor provides appropriate training to team members on key technical information related to coverage, coding, payment and affordability
  • Conduct ride alongs and identify gaps in FAS capabilities and work with the third-party vendor to address identified deficiencies and areas of opportunity

Basic Qualifications:
  • Minimum 5 years of experience in coverage, coding, managed healthcare, and/or market access in the US Market in oncology and/or immunology in Managed Health Care, Payer Account Management, Field Reimbursement Manager or equivalent role
  • Minimum 3 years of experience leading field teams, successful team coaching, management and personnel development experience
  • Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines
  • Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services and how to monitor and mitigate for those risks
  • Experience training and developing others to understand the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines
  • 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
  • Strong understanding of drug acquisition and dispensing in the immunology specialty biologics space and oncology (role of Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
  • Strong understanding of third party reimbursement support service vendors and how to effectively interact in a compliant fashion
  • Track record of strong leadership contributions
  • Ability to effectively navigate complex situations with internal and external customers that require sound judgment, problem-solving skills and awareness of rules and regulations that govern provision of reimbursement support services
  • Ability to travel up to 75%
  • May live anyplace in the western US, close to major airport
  • Valid Driver's License
  • Bachelor's degree; MBA or advanced degree preferred

Equal Opportunity Employer Minorities/Women/Veterans/Disabled


75% Travel