Field Reimbursement Manager, Immunology Dermatology
About The Position
The Immunology Field Reimbursement Manager (FRM) is a field-based resource who calls directly on healthcare provider (HCP) offices in an assigned geography to address patient access questions in support of AbbVie’s immunology portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology products, explains available access and reimbursement support tools, advises HCPs on patient prescription status and program eligibility, and educates HCP offices on payer processes and procedures. Candidates should live within a reasonable distance of Pittsburgh, Pennsylvania. Hiring level will be commensurate with experience. Travel is 50% of the time.
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 technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines.
- 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 level 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 the immunology specialty biologics space, including Buy and Bill, specialty pharmacies, and specialty distributors.
- 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.
Nice To Haves
- 5 or more years of industry experience in access and reimbursement or account management.
- Extensive experience educating others on payer processes, requirements for coverage, and other access-related situations for specialty medicines.
- Strong track record of leadership within the current role.
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, specialty distribution, and white-bagging support.
- Educate HCPs on resources available to address access issues.
- Provide local expertise on national and regional payer policies, educating providers on 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 Market Access 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 time.
- Medical, dental, and vision insurance for eligible employees.
- 401(k) for eligible employees.
- Eligibility to participate in long-term incentive programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
