Field Reimbursement Manager

About this role

This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. Candidates may live in the following cities: Nashville, TN The Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the AbbVie products.

The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie products. The FRM responsibilities include educating on the access and reimbursement support tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures. 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 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 Bachelor’s degree in health, sciences, pharmacy or business-related field preferred or relevant and equivalent industry experience required 3+ years of experience in specific therapeutic area with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement and excellent territory and account management skills.

Extensive experience educating others on payer processes, requirement for coverage, and other access related situations for specialty medicines. Strong track record of leadership within current role. 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.