Field Reimbursement Manager, Psychiatry

Role Summary

The Psychiatry Field Reimbursement Manager (FRM) acts as the primary contact to address HCP questions about patient access and reimbursement. The FRM calls on HCPs, retail and specialty pharmacies, financial support personnel, and Billing & Coding staff in the assigned geography and provides education on AbbVie Patient Support Programs in support of AbbVie’s Psychiatry portfolio. The FRM coordinates cross-functionally with Market Access, Patient Services, and Field Sales to support drug accessibility. This role is field-based and candidates should live within a reasonable distance from the primary city, with Louisville, Kentucky as a possible location.

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 specialty distribution
• 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
• Report back payer trends related for approved products to Patient Services and MHC account management teams
• Establish and maintain relationships with appropriate providers within geography
• Remain current on key managed care, reimbursement, and policy activities
• Compliantly communicate with AbbVie customer facing teams within the geography

Qualifications

• At least 3 years of experience in Psychiatry 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
• Bachelor’s degree / Valid driver's license
• Satisfy all applicable HCIR credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory; you must be in good standing and/or eligible to obtain these credentials
• HCIR credentialing may include background checks, drug screens, immunization/vaccination, fingerprinting, and licenses required by state or city; you are responsible for meeting all HCIR requirements and related liabilities