Associate Director, Field Reimbursement, Immunology Gastroenterology

Role Summary

The Associate Director, Field Reimbursement Manager - Immunology Gastroenterology leads a regional team of Field Access Specialists focused on educating healthcare professionals about AbbVie patient experience programs and delivering access and reimbursement support. The role ensures the team engages customers to understand coverage, coding, payment, product acquisition and affordability dynamics in the local geography. It is field-based, with quarterly field rides to coach and verify compliant use of AbbVie tools and materials, and requires collaboration with internal stakeholders including Patient Services, Managed Health Care, Sales, and the Access and Reimbursement hub. The geography includes Atlanta, Georgia; Orlando, Florida; and Birmingham, Alabama.

Responsibilities

• Ensure team compliance with the appropriate ways of working
• Assist in the implementation of patient services access resources and programs into area execution, including identifying training needs, in-field and National/Regional meetings, with the purpose of elevating regional effectiveness
• Work with peers in Market Access and Trade to understand the changing Healthcare Landscape and communicates appropriate information to the FAS team
• Appropriately communicate patient services and access program information to sales teams in a compliant way
• Utilize analytics tools to monitor call activity and capacity
• Develop, implement and execute effective skill development plans for direct reports. Deliver consistent coaching direction via field-travel and meeting engagements and optimize their ability to provide effective access to support HCPs.
• Develop, monitor and advance development planning process with direct reports.

Qualifications

• Minimum 5 years of experience in coverage, coding, managed healthcare, and/or market access in neuroscience in Managed Health Care, Payer Account Management, Field Reimbursement Manager or equivalent role
• Minimum 3 years of experience leading field teams, successful team coaching, management and personnel development experience
• Bachelor's degree in health, sciences, pharmacy or business-related field preferred or relevant and equivalent industry experience 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 and how to monitor and mitigate for those risks. Demonstrated deep technical understanding of coverage, coding, payment and distribution of specialty products and the rules and regulations that govern provision of reimbursement support.
• 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 (role of Specialty Pharmacies, Specialty Distributors and white-bagging, etc.)
• Track record of strong leadership contributions
• 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.