Field Reimbursement Manager, Immunology Gastroenterology

PowerToFly; Miami (FL); On-site; USD 95,000 - 135,000; Full time

Job summary

AbbVie seeks an Immunology Field Reimbursement Manager to cover Miami/Fort Lauderdale. The FRM engages with HCP offices to answer questions on patient access, coverage, and reimbursement, educating on tools and eligibility.

Travel within the territory is expected to support AbbVie's portfolio with payer policy insight. The role requires pharma experience in payer management and a solid grasp of reimbursement processes, with field-based responsibilities and credentialing requirements across

Qualifications

• 3+ years pharma industry experience in Managed Health Care, Payer Account Management, or Access and Reimbursement.
• Immunology experience is a plus.
• Strong understanding of payer policy, coding, and reimbursement processes.

Responsibilities

• Educate HCPs on patient support and reimbursement tools.
• Educate on product-specific access options and specialty networks.
• Educate providers on payer processes and program eligibility.
• Provide local expertise on payer policies to educate providers.
• Coordinate with Access and Reimbursement centers to update on Rx status.
• Report payer trends to Patient Services and MHC teams.
• Establish and maintain relationships with providers within territory.
• Stay current on managed care, reimbursement, and policy activities.

Skills

Payer Access

Immunology

Regulatory Knowledge

Territory Management

Communication Skills

Driver's License

Education

Bachelor's degree

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 atwww.abbvie.com. Follow @abbvie onLinkedIn,Facebook,Instagram,XandYouTube.

Job Description

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

Candidates may live in the following cities:

• Miami, Florida
• Fort Lauderdale, Florida

TheImmunology Field Reimbursement Manager – Gastroenterology 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 assigned portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting assigned 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 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 MHC account management teams
• Establish and maintain relationships with appropriate providers within territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years ofpharma industry experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
• Previous experience working within Immunology a plus
• Bachelor’s degree required
• 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(Specialty Pharmacies, Specialty Distributors and white-bagging, 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
• Driving a personal auto or company car or truck, or a powered piece of material handling equipment
• Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
• 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.
• "Talent will be hired at a level commensurate with experience."

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, visithttps://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

What AbbVie Has to Offer

Our work can—and does—have a tangible, lasting impact on millions of people. But it’s not just the results that matter. How we achieve them matters, too. Leading with purpose, we work to build a more sustainable future for generations to come. We do that by putting our expertise, resources and talent to work to make a real difference for patients, communities and our world.