Field Reimbursement Manager, Immunology Dermatology

The Immunology 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 immunology portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology 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.
Specific 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, specialty distribution, and white-bagging support
Educate on resources available to address access issues
Provide local expertise in regards to national/regional payor policies in order 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 Market Access account management teams
Establish and maintain relationships with appropriate providers within territory
Remain current on key managed care, reimbursement, and policy activities
At least 3 years of experience in immunology with experience in Market Access, 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 immunology specialty biologics space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, 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
Additional Qualifications:
5 or more years of industry experience in access and reimbursement or account management
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

Employment type
Full-time

Work arrangement
Yes