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 and reimbursement. The FRM visits HCP offices within an assigned geography to provide expertise on coverage and reimbursement challenges related to AbbVie Botox Therapeutic, educate on access tools and payer processes, and advise on patient prescription status and program eligibility.

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 appropriate claims submission processes
• Liaise with AbbVie‚Äôs Access and Reimbursement support center to update HCPs on Rx status and program eligibility
• Report back 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 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 Botox 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‚Äôs degree
• Driving a personal auto or company car or truck, or a powered piece of material handling equipment
• Valid driver‚Äôs license: Ability to pass a pre-employment drug screening test and meet safe driving requirements
• HCIR credentialing requirements and eligibility to obtain credentials for entry into facilities and organizations in the assigned territory

Skills

• Strong communication and relationship-building skills
• Analytical skills to interpret payer policies and trends
• Ability to navigate complex reimbursement environments and resources