Field Reimbursement Manager, Immunology Dermatology
About The Position
The Immunology Field Reimbursement Manager (FRM) is a field-based resource who calls directly on health care provider offices in an assigned geography to address questions about patient access and reimbursement in support of AbbVie’s immunology portfolio. The FRM provides expertise on product coverage and common access and reimbursement challenges, educates offices about available support tools and payer processes, and advises on prescription status and program eligibility. Candidates should live within reasonable distance of the primary city in their territory; listed areas are Pittsburgh, Scranton, or State College, Pennsylvania, or Morgantown or Martinsburg, West Virginia. Hiring level is commensurate with experience. Travel is approximately 50% of the time.
Requirements
- Bachelor’s degree in a health, sciences, pharmacy, or business-related field, or relevant and equivalent industry experience.
- Strong track record of leadership in the current role.
- 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 the relevant therapeutic area, including specialty pharmacies, specialty distributors, and white-bagging.
- Demonstrated understanding of the 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 applicable health care industry representative credentialing requirements for facilities and organizations 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 specific state or local licenses.
Nice To Haves
- Bachelor’s degree in a health, sciences, pharmacy, or business-related field.
Responsibilities
- Educate health care providers on patient support programs, including access and reimbursement support tools and services.
- Educate providers on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support.
- Educate providers on 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 health care provider offices 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 leave.
- 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
Manager
