Field Reimbursement Manager, Botox Therapeutic

Role Summary

The Field Reimbursement Manager, Botox Therapeutic (FRM) acts as an in-office resource to address physician questions about patient access and reimbursement, supporting AbbVie Botox Therapeutic in their assigned geography. The FRM educates on coverage, payer processes, and access tools, and collaborates with payer policies and program eligibility to assist HCPs with patient prescription status.

Responsibilities

• Educate HCPs on patient support programs, 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 for 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 and meet safe driving requirements
• HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory; in good standing or eligible to obtain these credentials

Skills

• Market access and payer communications
• Healthcare payer policies, coding, and billing
• Relationship building with providers and territory management
• Compliance with HCIR and industry requirements