Field Reimbursement Manager, Immunology Dermatology

AbbVie; Florida; On-site; USD 90,000 - 130,000; Full time

Job summary

AbbVie is seeking a Field Reimbursement Manager (FRM) for immunology to operate in Florida, calling on HCP offices within a defined geography to address patient access and reimbursement questions. The FRM educates providers on reimbursement tools and payer processes while supporting product access strategies.

The role requires 3+ years in immunology with market access or reimbursement experience and a deep understanding of coverage, coding, and payment for specialty medicines.

Qualifications

• A minimum of 3 years in immunology with Market Access, Payer Account Management, or Access and Reimbursement.
• Thorough understanding of payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines.
• Strong communication of coding and billing requirements at national and regional levels.

Responsibilities

• Educate HCPs on patient support programs, access and reimbursement tools and services.
• Educate on product-specific acquisition and access options like specialty pharmacies and white-bagging support.
• Provide local expertise on payor policies to educate providers on payer issues and coding changes.
• Coordinate with AbbVie’s Access and Reimbursement center to update HCPs on Rx status and program eligibility.
• Report payer trends related to approved products to Patient Services and Market Access teams.
• Establish and maintain relationships with providers within the territory.
• Stay current on managed care, reimbursement, and policy activities.

Skills

Immunology experience

Market Access

Payer Account Management

Access and Reimbursement

Coding and billing knowledge

Medicare knowledge

Buy and Bill

Territory management

Education

Bachelor’s degree

Job 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.

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:

• Jacksonville
• Daytona
• St Augustine

The Immunology 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 immunology portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology 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, specialty distribution, and white-bagging support
• Educate on resources available to address access issues
• Provide local expertise in regards to national/regional payor policies in order 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 Market Access account management teams
• Establish and maintain relationships with appropriate providers within territory
• Remain current on key managed care, reimbursement, and policy activities

• At least 3 years of experience in immunology with experience in Market Access, Payer Account Management, and/or Access and Reimbursement
• 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 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 immunology specialty biologics space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
• Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
• Excellent territory and account management skills
• Bachelor’s degree
• Valid driver’s license

Preferred Qualifications

• 5 or more years of industry experience in access and reimbursement or account management
• 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

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local 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

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

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