Field Reimbursement Manager
AbbVie•Baton Rouge, LA
•Onsite
About The Position
The Field Reimbursement Manager (FRM) is a field-based resource who addresses healthcare provider (HCP) questions about patient access and reimbursement in support of AbbVie Vraylar products. The FRM calls directly on HCP offices in an assigned geography, providing expertise on coverage and common access and reimbursement challenges. The role educates HCPs about AbbVie access and reimbursement support 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. The hiring level will be commensurate with experience.
Requirements
- Bachelor’s degree in health, sciences, pharmacy, or a business-related field, or relevant and equivalent industry experience.
- 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.
- Excellent territory and account management skills.
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines.
- Strong track record of leadership in a 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 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 (HCIR) credentialing requirements for entry into facilities and organizations in the assigned territory, and be in good standing or eligible to obtain the credentials. Credentialing may involve background checks, drug screens, proof of immunization or vaccination, fingerprinting, and licenses required by individual states or cities.
Nice To Haves
- Bachelor’s degree in health, sciences, pharmacy, or a business-related field is preferred.
Responsibilities
- Educate HCPs on patient support programs, including access and reimbursement support tools and services.
- Educate HCPs on product-specific acquisition and access options, such as specialty pharmacy networks and specialty distribution.
- Educate HCPs 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 for 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 time.
- 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
Mid Level
