Field Reimbursement Manager, Psychiatry
AbbVie•St. Louis, MO
•$124,500 - $236,500
About The Position
The Field Reimbursement Manager, Psychiatry is a field-based role. Candidates should live within a reasonable distance of the primary city, and hiring level will be commensurate with experience. The position educates healthcare providers on patient support programs, approved access and reimbursement resources, payer policies, and access issues. It works across sales, market access, patient services, and AbbVie’s Access and Reimbursement support center to assist providers and report payer trends. The role manages relationships across an assigned territory and requires overnight travel 75% of the time.
Requirements
- Bachelor’s degree in biological sciences, pharmacy, a business-related field, or equivalent.
- At least 5 years of neuroscience experience, including field experience in account management, payer account management, and/or field-based account access and reimbursement.
- Thorough understanding of payer policy processes, published coverage criteria and documentation, coding, prior authorization, and appeals.
- Understanding of the rules, regulations, and risks associated with providing reimbursement support services.
- Comprehensive understanding of commercial and governmental payer access dynamics.
- Strong understanding of access and reimbursement support service centers and how to interact with them compliantly.
- Demonstrated success in territory and account management, preferably in neurology.
- Satisfy applicable healthcare industry representative (HCIR) credentialing requirements and be in good standing or eligible to obtain the required credentials.
- Valid driver’s license.
- Experience developing approved resources and/or educating others on payer processes, coverage requirements, and other access-related situations for specialty medicines.
- Strong history of leadership within the current role at the national level.
Responsibilities
- Educate healthcare professionals on patient support programs, including approved access and reimbursement support tools and services.
- Use approved resources to educate healthcare professionals and address access issues.
- Serve as a subject matter expert on local, regional, and national payer policies and educate providers on payer requirements.
- Work effectively across teams in sales, market access, patient services, and AbbVie’s Access and Reimbursement support center, including communicating prescription status and program eligibility to healthcare professionals.
- Identify and 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, strategically prioritizing travel and activity across the assigned geography.
- Remain current on managed care, reimbursement, and policy activities.
- Use approved resources and data to support healthcare professional education initiatives that enhance the patient experience.
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
