Field Reimbursement Manager - Oral Migraine
About The Position
The Field Reimbursement Manager (FRM) – Neuroscience serves as an alternative in-office resource for healthcare professionals (HCPs) with questions about patient access. The field-based FRM calls directly on HCP offices in an assigned geography to provide information about patient access and reimbursement in support of AbbVie’s Neuroscience portfolio. The role provides expertise on coverage and common access and reimbursement challenges affecting AbbVie Neuroscience products. The FRM educates HCPs about AbbVie access and reimbursement support tools, advises them on patient prescription status and program eligibility, and explains payer processes and procedures. The position is field-based; candidates should live within a reasonable distance of the primary city. Candidates may live in Pittsburgh, Pennsylvania. The role requires travel 50% of the time, and hiring level is commensurate with experience.
Requirements
- At least 3 years of experience in Neuroscience, with experience in managed health care, payer account management, and/or access and reimbursement.
- Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicine.
- Demonstrated understanding of rules, regulations, and risks associated with providing reimbursement support services.
- Strong understanding of, and ability to communicate, technical coding and billing requirements at the national and regional levels across all settings of care.
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics.
- Strong understanding of drug acquisition and dispensing in Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging.
- Strong understanding of access and reimbursement support service centers and how to interact with them compliantly.
- Excellent territory and account management skills.
- Bachelor’s degree.
- Valid driver’s license.
- Satisfy applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory, and be in good standing or eligible to obtain the credentials. Requirements may include background checks, drug screens, proof of immunization or vaccination, fingerprinting, and licenses required by a state or city. The employee is responsible for satisfying these requirements and any associated liability.
Responsibilities
- Educate HCPs on patient support programs, including access and reimbursement support tools and services.
- Educate HCPs on product-specific acquisition and access options, such as specialty pharmacy networks and specialty distribution.
- Educate HCPs about resources available to address access issues.
- Provide local expertise on national and regional payer policies, including payer issues, coding changes, and appropriate claims-submission processes.
- Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on prescription status and program eligibility.
- Report payer trends related to approved products to Patient Services and MHC account management teams.
- Establish and maintain relationships with appropriate providers within the territory.
- Remain current on key managed care, reimbursement, and policy activities.
Benefits
- Paid time off, including vacation, holidays, and sick leave.
- Medical, dental, and vision insurance for eligible employees.
- 401(k) for eligible employees.
- Eligible to participate in long-term incentive programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
