Field Reimbursement Manager - Oral Migraine

AbbVie Inc.; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

401(k) plan

Paid time off

Job summary

AbbVie Inc. is seeking a field-based specialist in neuroscience access and reimbursement. You will educate HCPs on patient support programs, payer options, and claims processes while liaising with payer networks and AbbVie's access teams.

The role requires at least 3 years in neuroscience with payer/account management experience, and strong understanding of Medicare/coverage rules. Candidates should reside near the primary city and be prepared for field-based work.

Qualifications

• At least 3 years of Neuroscience experience with Managed Health Care and/or Payer Account Management.
• Strong understanding of payer policy processes, coding and payment for specialty medicine.
• Ability to communicate complex billing and coverage topics at national and regional levels.
• Knowledge of Parts A-D and Medicare reimbursement dynamics.

Responsibilities

• Educate healthcare providers on patient support programs, access tools, and reimbursement services.
• Educate on product acquisition options such as specialty pharmacy networks and distribution.
• Provide guidance on payer policies to educate providers on claims submission.
• Establish and maintain territory relationships with providers and payers.
• Monitor payer trends and coordinate with Patient Services and MHC account teams.

Skills

Neuroscience

Payer management

Access & reimbursement

HC payer policy

Territory management

Coding & billing

Education

Bachelor's degree

Job description

About AbbVieAbbVie'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 , X and YouTube.

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:

• Pittsburg, PA

Specific 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 of experience in Neuroscience with experience in Managed Health Care, 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 medicine
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support service
• 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 Neuroscience space (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
• Bachelor’s degree
• Valid driver’s license

HCIR Credentialing 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.

Compensation

The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.

Benefits

We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. This job is eligible to participate in our long-term incentive programs.

Equal Opportunity

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