Field Reimbursement Manager, Botox Therapeutic
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Role Summary
The Field Reimbursement Manager, Botox Therapeutic (FRM) acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned geography to answer questions about patient access and reimbursement in support of AbbVie Botox Therapeutic. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie Botox Therapeutic. The FRM responsibilities include educating on the access and reimbursement support tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.
This role is field-based; candidates should live within a reasonable distance from the primary city. Geography includes Norfolk, Virginia Beach, and Richmond.
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, specialty distribution, and white-bagging support
- Educate on resources available to address access issues
- Provide local expertise regarding national/regional payor policies 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 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’s degree
- 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, and meet safe driving requirements
- Essential HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory
- Ability to obtain and maintain HCIR credentials; may include background checks, drug screens, immunization proofs, fingerprinting, and state/city licenses
Skills
- Effective communication of complex payer and coding concepts
- Relationship-building with healthcare providers and internal teams
- Ability to navigate payer policies and reimbursement landscapes
- Strong analytical and problem-solving skills