Field Reimbursement Manager

AbbVie•Baton Rouge, LA

3h•$132,000 - $238,000

About The Position

The Field Reimbursement Manager (FRM) is a field-based resource who addresses healthcare provider (HCP) questions about patient access and reimbursement for AbbVie Vraylar products. The FRM calls directly on HCP offices within an assigned geography, providing expertise on coverage and common access and reimbursement challenges. The role educates HCPs on AbbVie access and reimbursement tools, advises on patient prescription status and program eligibility, and explains payer processes and procedures. Candidates should live within a reasonable distance of the primary city. Hiring level will be commensurate with experience. The role requires extensive experience with payer processes, coverage requirements, and access situations involving specialty medicines, as well as knowledge of coding and billing, Medicare reimbursement, drug acquisition and dispensing, and compliant reimbursement support services. The position involves driving and requires a valid driver’s license, successful completion of pre-employment drug screening, safe driving qualifications, and satisfaction of applicable healthcare industry representative credentialing requirements for facilities and organizations in the assigned territory.

Requirements

At least 3 years of experience in the specific therapeutic area, with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement, and excellent territory and account management skills.
Extensive experience educating others on payer processes, coverage requirements, and other access-related situations for specialty medicines.
Strong leadership track record in the current role.
Strong understanding of, and ability to communicate, technical elements of 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 specific 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 test, and ability to meet safe driving requirements.
Ability to drive a personal auto or company car or truck, or a powered piece of material handling equipment.
Must satisfy all applicable healthcare industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory, and be in good standing and/or eligible to obtain these credentials.
Must meet applicable HCIR requirements, which may include background checks, drug screens, proof of immunization or vaccination, fingerprinting, and specific state or city licenses.

Nice To Haves

Bachelor’s degree in health, sciences, pharmacy, or a business-related field.

Responsibilities

Educate HCPs on patient support programs, including access and reimbursement support tools and services.
Educate HCPs on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution.
Educate HCPs on resources available to address access issues.
Provide local expertise on national and regional payer policies, 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 assigned territory.
Remain current on key managed care, reimbursement, and policy activities.