Field Reimbursement Manager
About The Position
The Field Reimbursement Manager (FRM) is a field-based resource who calls directly on health care provider (HCP) offices in an assigned geography to address questions about patient access and reimbursement for AbbVie products. The FRM provides expertise on coverage and common access and reimbursement challenges, educates HCPs on available access and reimbursement support tools, advises on prescription status and program eligibility, and explains payer processes and procedures. The position is based in the field, with candidates expected to live within a reasonable distance of Nashville, Tennessee. Hiring level will be commensurate with experience. Travel is 75% of the time.
Requirements
- Bachelor’s degree in health, sciences, pharmacy, or a business-related field preferred, or relevant and equivalent industry experience required.
- At least 3 years of experience in a 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 track record of leadership within 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 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 meet safe driving requirements.
- Ability to drive a personal auto or company car or truck, or powered material-handling equipment.
- Must satisfy applicable health care 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.
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 on product-specific acquisition and access options, such as specialty pharmacy networks and specialty distribution.
- Educate on resources available to address access issues.
- Provide local expertise regarding 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 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 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
Mid Level
