Field Reimbursement Manager, Oral Migraine

Role Summary

The Oral Migraine Field Reimbursement Manager (FRM) acts as a non-clinical in-office resource that educates and addresses HCP questions about patient access. The FRM is a field-based role that visits HCP offices within a defined geography to address questions about patient access and reimbursement in support of AbbVie’s prescription-based migraine portfolio. The FRM provides expertise on coverage and reimbursement barriers to enhance the patient experience, educates offices on payer processes and procedures, and advises on patient prescription status and program eligibility.

Responsibilities

• Educate HCPs on patient support programs, including approved access and reimbursement tools and services.
• Educate HCPs via approved resources to address access issues.
• Be a subject matter expert on local, regional, and national payer policies to educate providers on payer requirements.
• Collaborate across sales, market access, and patient service teams, and liaise with the Access and Reimbursement support center to update HCPs on Rx status and program eligibility.
• Identify and report payer trends related to approved products to Patient Services and market access account management teams.
• Establish and maintain relationships with providers within the FRM territory, prioritizing travel and activity across the geography.
• Remain current on key managed care, reimbursement, and policy activities.
• Use approved resources and data to support HCP education initiatives that enhance the patient experience.

Qualifications

• At least 3 years of experience in Account Management, Sales, Managed Health Care, 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 Neuroscience space (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.) and how to interact with access and reimbursement support service centers in a compliant fashion
• Excellent territory and account management skills
• Bachelor’s degree / Valid driver’s license
• Must satisfy HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory; must be in good standing and/or eligible to obtain these credentials
• HCIR credentialing requirements may include background checks, drug screens, immunization proof, fingerprinting, and state/city licenses; you are responsible for satisfying all requirements

Education

• Bachelor’s degree

Additional Requirements

• Credentialing requirements for HCIR to gain access to facilities and organizations in the assigned territory, including potential background checks, drug screens, immunizations, fingerprinting, and licenses; responsibility for maintaining credentials