Field Reimbursement Manager – Oral Migraine

Job Description:

• Act as an alternative in-office resource addressing HCP questions about patient access
• Call directly on HCP offices within the assigned geography
• Educate HCPs on patient support programs, access and reimbursement tools, and services
• Educate on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution
• Educate on resources for addressing access issues
• Provide local expertise on national and regional payer policies, coding changes, and claims submission processes
• Liaise with AbbVie’s Access and Reimbursement support center regarding prescription status and program eligibility
• Report payer trends for approved products to Patient Services and MHC account management teams
• Establish and maintain relationships with providers within the territory
• Stay current on managed care, reimbursement, and policy activities

Requirements:

• 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 technical payer policy processes, systems, and requirements for specialty medicine coverage, coding, and payment
• Understanding of rules, regulations, and risks associated with reimbursement support services
• Ability to communicate technical coding and billing requirements at national and regional levels across care settings
• Understanding of Medicare Parts A, B, C, and D and reimbursement dynamics
• Understanding of drug acquisition and dispensing in Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging
• Understanding of access and reimbursement support service centers and compliant interaction practices
• Territory and account management skills
• Bachelor's degree
• Valid driver's license
• Must satisfy applicable HCIR credentialing requirements and be in good standing or eligible to obtain them

Benefits:

• Paid time off (vacation, holidays, sick)
• Medical, dental, and vision insurance
• 401(k)
• Long-term incentive program eligibility
• Remote work option
• HCIR credentialing support/resources