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 a defined geography to educate on access and reimbursement, provide expertise on coverage, and advise on program eligibility and payer processes.

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’s 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 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 National and Regional levels
• 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 compliant interaction
• Excellent territory and account management skills
• Bachelor’s degree
• Driving a personal auto or company vehicle; valid driver’s license
• Ability to pass pre-employment drug screening and meet safe driving requirements
• Must satisfy HCIR credentialing requirements to gain entry into facilities and organizations in the assigned territory

Education

• Bachelor’s degree