Field Reimbursement Manager-Oral Migraine

Role Summary

The Field Reimbursement Manager (FRM) for Oral Migraine products acts as an in-office resource addressing HCP questions about patient access and reimbursement. The FRM visits HCP offices within a defined geography to provide guidance on coverage, payer processes, and program eligibility, and to educate on reimbursement tools and resources available from AbbVie.

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 and specialty distribution
• 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 MHC account management teams
• Establish and maintain relationships with appropriate providers within territory
• Stay current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years of experience in Neuroscience with experience in 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
• Valid driver’s license
• Must satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory; this includes, where applicable, background checks, drug screens, immunizations, fingerprinting and licenses

Education

• Bachelor’s degree