Field Reimbursement Manager, Botox Therapeutic

Role Summary

The Field Reimbursement Manager, Botox Therapeutic (FRM) acts as an in-office resource to address HCP questions about patient access. The FRM visits HCP offices in their assigned geography to educate on patient access and reimbursement for AbbVie Botox Therapeutic, and to provide expertise on coverage and common access and reimbursement challenges.

Responsibilities

• Educate HCPs on patient support programs, including access and reimbursement 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 on national/regional payor policies to educate providers on payer issues, coding changes, and claims submission processes
• Liaise with AbbVie‚Äôs Access and Reimbursement support center to update HCPs 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 territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years of experience in Market Access, Payer Account Management, and/or Access and Reimbursement
• Thorough understanding of technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines
• Understanding of rules, regulations and risks associated with reimbursement support services
• 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
• Understanding of drug acquisition and dispensing in the Botox space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
• Understanding of access and reimbursement support service centers and how to interact in a compliant fashion
• Excellent territory and account management skills
• Bachelor‚Äôs degree
• Ability to drive a personal auto or company car or truck, or powered equipment
• Valid driver‚Äôs license and ability to pass pre-employment drug screening
• Must satisfy HCIR credentialing requirements to gain entry into facilities and organizations in the assigned territory

Skills

• Strong communication and relationship-building
• Analytical understanding of payer policies and reimbursement processes
• Knowledge of Medicare and commercial payer dynamics
• Customer-focused with ability to educate providers on complex processes