Field Reimbursement Manager

AbbVie Inc.; Nashville (TN); On-site; USD 90,000 - 120,000; Full time

Job summary

AbbVie Inc. in Nashville, TN is seeking a Field Reimbursement Manager (FRM) who is field-based and lives within a reasonable distance from the primary city.

The FRM serves as an in-office resource for HCPs, addressing patient access questions and supporting AbbVie products with expert coverage and reimbursement guidance. You will educate providers on patient support programs, product acquisition options, and payer processes, while staying current on national and regional payor policies.

Qualifications

• Bachelor’s degree in health, sciences, pharmacy or business-related field (preferred or equivalent experience).
• 3+ years in a therapeutic area with Managed Health Care, Payer Account Management, or Access and Reimbursement.
• Strong territory and account management skills.
• Ability to educate on payer processes and coverage requirements at national/regional levels.
• Understanding of Parts A, B, C, D or Medicare and related reimbursement dynamics.
• Knowledge of drug acquisition, dispensing, and payer networks (specialty pharmacies/distributors).

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/regional payor policies to educate providers on payer issues, coding changes, and appropriate claims submission processes.
• Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility.
• Report back payer trends related for approved products to Patient Services and MHC account management teams.

Skills

Payer processes

Access and reimbursement

Territory management

HCIR credentialing

Education

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

Job description

Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, XandYouTube.

Job Description

This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience.

Candidates may live in the following cities:

• Nashville, TN

The Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the AbbVie products. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie products. The FRM responsibilities include educating on the access and reimbursement support tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.

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/regional payor policies to educate providers on payer issues, coding changes, and appropriate claims submission processes
• Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
• Report back payer trends related for approved products to Patient Services and MHC account management teams
• Establish and maintain relationships with appropriate providers within territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• Bachelor’s degree in health, sciences, pharmacy or business-related field preferred or relevant and equivalent industry experience required
• 3+ years of experience in 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, requirement for coverage, and other access related situations for specialty medicines.
• Strong track record of leadership within current role. Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care.
• Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics.
• Strong understanding of drug acquisition and dispensing in the specific therapeutic area space (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.)
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services.
• Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion.
• Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
• Driving a personal auto or company car or truck, or a powered piece of material handling equipment.
• An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials.
• These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities.

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state orlocal law:

• The compensation range described below is the range of possible base pay compensation that the Companybelieves ingood faith it will pay for this role at the timeof this posting based on the job grade for this position.Individualcompensation paid within this range will depend on many factors including geographic location, andwemayultimatelypaymore or less than the posted range. This range may bemodifiedin thefuture.
• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick),medical/dental/visioninsurance and 401(k) to eligibleemployees.
• This job is eligible toparticipatein our long-term incentiveprograms.

Note: No amount of payis considered to bewages or compensation until such amount is earned, vested, anddeterminable.The amount and availability of any bonus,commission, incentive, benefits, or any other form ofcompensation and benefitsthat are allocable to a particular employeeremainsin the Company's sole andabsolutediscretion unless and until paid andmay bemodifiedat the Company’s sole and absolute discretion, consistent withapplicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

https://www.abbvie.com/join-us/reasonable-accommodations.html