Field Reimbursement Manager, Immunology Dermatology
About The Position
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: Jacksonville, Daytona, St Augustine. The Immunology Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the AbbVie immunology portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology products. The FRM responsibilities include educating on the access and reimbursement support tools available from Abbvie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.
Requirements
- At least 3 years of experience in immunology with experience in Market Access, Payer Account Management, and/or Access and Reimbursement
- 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
- 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 (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
- Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
- Excellent territory and account management skills
- Bachelor’s degree
- Valid driver’s license
Nice To Haves
- 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
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
- Liaise with Abbvie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
- Report back payer trends related for approved products to Patient Services and Market Access account management teams
- Establish and maintain relationships with appropriate providers within territory
- Remain current on key managed care, reimbursement, and policy activities
Benefits
- paid time off (vacation, holidays, sick)
- medical/dental/vision insurance
- 401(k)
- long-term incentive programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
