Field Reimbursement Manager, Oral Migraine

Role Summary

The Oral Migraine Field Reimbursement Manager (FRM) is a field-based, non-clinical in-office resource who educates and addresses HCP questions about patient access. The FRM calls directly on HCP offices in the assigned 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 better enhance the patient experience. The FRM responsibilities include educating HCPs about access and reimbursement via AbbVie approved support tools, advising HCPs on patient prescription status, program eligibility, and educating offices on payer processes and procedures.

Responsibilities

• Educate HCPs on patient support programs, including approved access and reimbursement support tools and services.
• Educate HCPs via approved resources to address access issues.
• Be a subject matter expert on relevant local, regional, and national payer policies to appropriately educate providers on payer requirements.
• Effectively work in a high cross-matrix environment, implementing appropriate ways of working communication with teams in sales, market access, patient service peers, as well as liaising with AbbVie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility.
• Identify and 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 the FRM territory, strategically prioritizing travel and activity across the entire FRM geography.
• Remain current on key managed care, reimbursement, and policy activities.
• Demonstrate agility to effectively incorporate the use of approved resources and data to appropriately support HCP education initiatives that enhance the patient’s 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.). 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 / Valid driver’s license
• An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials.
• These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. You are responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so.