Field Reimbursement Manager, Immunology Dermatology
About The Position
The Field Reimbursement Manager (FRM) is a field-based resource who calls directly on healthcare provider (HCP) offices within an assigned geography to address questions about patient access and reimbursement in support of AbbVie’s immunology portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology products. Candidates should live within a reasonable distance of a primary city; eligible areas include Pittsburgh, Scranton, or State College, Pennsylvania, and Morgantown or Martinsburg, West Virginia. The hiring level will be commensurate with experience. The FRM educates HCPs about patient support programs and access and reimbursement resources, advises on patient prescription status and program eligibility, and explains payer processes and procedures. The role also provides local insight into payer policies and access trends, maintains relationships with providers in the territory, and stays current on managed care, reimbursement, and policy activities. The position involves travel 50% of the time and driving a personal or company vehicle or powered material-handling equipment.
Requirements
- Bachelor’s degree in health, sciences, pharmacy, or a business-related field preferred; relevant and equivalent industry experience required.
- Strong track record of leadership within the current role.
- Strong understanding of and ability to communicate technical coding and billing requirements at 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 the relevant therapeutic area, including specialty pharmacies, specialty distributors, and white-bagging.
- Demonstrated understanding of rules, regulations, and risks associated with providing reimbursement support services.
- Strong understanding of access and reimbursement support service centers and how to interact with them compliantly.
- Valid driver’s license; ability to pass a pre-employment drug screening and meet safe-driving requirements.
- Ability to drive a personal or company auto or truck, or powered material-handling equipment.
- Must satisfy applicable healthcare industry representative (HCIR) credentialing requirements to gain and maintain facility and organization access in the assigned territory, and be in good standing or eligible to obtain credentials. Requirements may include background checks, drug screens, proof of immunization or vaccination, fingerprinting, and licenses required by specific states or cities. The employee is responsible for meeting credentialing requirements and associated liability.
Responsibilities
- Educate HCPs about patient support programs, including access and reimbursement support tools and services.
- Educate HCPs on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support.
- Educate HCPs about resources available to address access issues.
- Provide local expertise on national and regional payer policies to educate providers about 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 in the assigned 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
Senior
