Field Reimbursement Manager, Eye Care

Role Summary

The Field Reimbursement Manager, Eye Care (FRM) is a field-based in-office resource who addresses HCP questions about patient access and reimbursement. The FRM visits HCP offices in a defined geography to provide expertise on coverage and common access and reimbursement challenges for the Eye Care portfolio of buy and bill products, educate on access and reimbursement tools, and advise on patient prescription status and program eligibility. The FRM educates providers on payer processes and procedures and stays current on managed care, reimbursement, and policy activities.

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 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 Buy and Bill Access and Reimbursement, Payer Account Management, and/or Market Access
• 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 Eye Care 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 and ability to pass a pre-employment drug screening test
• Ability to satisfy HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory