Field Reimbursement Manager, Psychiatry
About The Position
The Field Reimbursement Manager (FRM), 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 FRM educates healthcare providers (HCPs) about approved patient support programs and resources for access and reimbursement, and provides information on payer policies, coverage requirements, and access issues. The role works across sales, market access, patient services, and AbbVie’s Access and Reimbursement support center to help keep HCPs informed about prescription status and program eligibility. The FRM also identifies payer trends, maintains provider relationships throughout the territory, and stays current on managed care, reimbursement, and policy activities. Overnight travel is 75%.
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 and published criteria and documentation for coverage, coding, prior authorization, and appeals.
- Understanding of 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.
- Good standing and/or eligibility to obtain applicable HCIR credentials; credentialing may include background checks, drug screens, immunization or vaccination documentation, fingerprinting, and specific state or local licenses.
- 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 HCPs on patient support programs, including approved access and reimbursement support tools and services.
- Use approved resources to educate HCPs and address access issues.
- Serve as a subject matter expert on relevant local, regional, and national payer policies and educate providers on payer requirements.
- Work effectively across sales, market access, patient services, and AbbVie’s Access and Reimbursement support center, communicating appropriately and updating HCPs on prescription status and program eligibility.
- 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 in the FRM territory, strategically prioritizing travel and activity across the geography.
- Remain current on managed care, reimbursement, and policy activities.
- Use approved resources and data to support HCP education initiatives that enhance the patient experience.
- Satisfy applicable HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory.
- Travel overnight 75% of the time.
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
Senior
