Field Reimbursement Manager, Eye Care

BioSpace; Salt Lake City (UT); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Paid time off

Medical/dental/vision insurance

401(k) plan

Job summary

A healthcare company is seeking a Field Reimbursement Manager for Eye Care in Salt Lake City, UT. You will educate healthcare providers on patient access, support reimbursement processes, and maintain provider relationships across a defined territory. The ideal candidate will possess at least 3 years of experience in reimbursement and understand the complexities of access and payer policies. This role offers competitive compensation and a range of benefits including medical insurance and paid time off.

Qualifications

• At least 3 years of experience in Buy and Bill Access and Reimbursement.
• Thorough understanding of technical payer policy processes.
• Strong ability to communicate coding and billing requirements.
• Experience with drug acquisition and dispensing in Eye Care.
• Ability to satisfy HCIR credentialing requirements and maintain credentials.

Responsibilities

• Educate HCPs on patient support programs.
• Provide expertise on payer policies and coding changes.
• Establish relationships with providers in the territory.
• Provide local expertise on payer policies and educate providers on claims submissions.
• Liaise with AbbVie’s Access and Reimbursement Support Center to update Rx status and program eligibility.
• Report payer trends to internal teams (Patient Services and Market Access).
• Establish and maintain relationships with providers within the assigned territory.
• Stay current on managed care, reimbursement and policy activities.

Skills

Experience in Buy and Bill Access and Reimbursement

Understanding of payer policy processes

Communication of coding and billing requirements

Knowledge of Medicare Parts A, B, C and D

Account management skills

Education

Bachelor’s degree

Job description

Field Reimbursement Manager, Eye Care

Join to apply for the Field Reimbursement Manager, Eye Care role at BioSpace.

Company Description

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, neuroscience, and eye care, and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit www.abbvie.com.

Job Description

This role is field-based, and candidates should live within a reasonable distance from the primary city.

The geography includes six states and the following major cities:

• Phoenix, AZ
• Denver, CO
• Salt Lake City, UT
• Las Vegas, NV

The Field Reimbursement Manager, Eye Care (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=mysql queries about patient access & reimbursement in support of Eye Care. The FRM provides expertise on coverage and common access and reimbursement challenges affecting the Eye Care portfolio of buy and bill 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.

Specific Responsibilities

• Educate HCPs ձեռ 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, specialty distribution, and white-bagging support
• Educate on resources available to address access issues
• Provide local expertise regarding national/regional payer 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 H Gives on Rx 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_sha territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years of experience in Buy and Bill Access and Reimbursement, Payer Account Management, and/or Market Access
• Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding, and payment for specialty medicines
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
• Strong ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care
• Comprehensive understanding of Medicare Parts A, B, C and D or equivalent reimbursement dynamics
• Strong understanding of drug acquisition and dispensing in the Eye Care space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
• Strong understanding of access and reimbursement support service centers and compliance interactions
• Excellent territory and account management skills
• Bachelor’s degree
• Personal or company vehicle (auto, truck, or powered material handling equipment) and valid driver’s license
• Successful completion of a pre-employment drug screening test and safe driving requirements
• Ability to satisfy all applicable Health Care Industry Representative (HCIR) credentialing requirements and maintain them

Talent will be hired at *)(a level commensurate with experience.

Compensation and Benefits

The compensation range described below reflects the base pay range the company believes in good faith it will pay for this role at the time of posting based on the job grade. Individual compensation within this range will depend on geographic location and other factors. This range may be modified in the future. We offer a comprehensive package that includes paid time off (vacation, holidays, sick leave), medical/dental/vision insurance, and a 401(k) plan to eligible employees. This job is eligible to participate in our short‑term incentive programs.

Note: No amount of pay is considered wages or compensation until the amount is earned, vested, and determinable. The park and supply of any bonus, commission, incentive, benefits or any other form of compensation, remain the company’s sole and absolute discretion, contingent on applicable law.

EEO Statement

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. Goethe

Equal Employment Opportunity Resources

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

Reasonable Accommodation

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: https://www.abbvie.com/join-us/reasonable-accommodations.html