Field Reimbursement Manager, Immunology Gastroenterology

Role Summary

Field-based Immunology Gastroenterology Field Reimbursement Manager (FRM) who addresses HCP questions about patient access. The FRM visits HCP offices in an assigned geography to educate on coverage and reimbursement, payer processes, and program eligibility, and to share AbbVie’s access tools. The role includes educating providers on acquisition options and reporting payer trends to internal teams. Location: Tampa, Florida; Sarasota, Florida; Saint Petersburg, Florida.

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 and speciality distribution
• Educate on resources available to address access issues
• Provide local expertise in regards to national/regional payor policies in order 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 MHC 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 pharma industry experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
• Previous experience working within Immunology is a plus
• Bachelor’s degree required
• 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 (Specialty Pharmacies, Specialty Distributors and white-bagging, 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
• Health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory. Credentialing may include background checks, drug screens, immunization/vaccination proof, fingerprinting, and licenses. You must be in good standing or eligible to obtain these credentials.

Additional Requirements

• Ability to drive a personal auto or company vehicle within the territory