Field Reimbursement Manager, Psychiatry

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
• Collaborate with AbbVie’s Access and Reimbursement Support Center to relay prescription status and program eligibility updates
• 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

Qualifications

• 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
• Strong understanding of drug acquisition and dispensing in the specific therapeutic area space (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.)
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
• Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
• Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements
• Ability to drive a personal auto or company car or truck, or a powered piece of material handling equipment

Benefits

AbbVie offers a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.