BioSpace
Field Reimbursement Manager, Immunology Gastroenterology
BioSpace, Birmingham, Alabama, United States, 35275
Field Reimbursement Manager, Immunology Gastroenterology
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas: immunology, oncology, neuroscience, and eye care, and products and services in our Allergan Aesthetics portfolio. This role is field-based, and candidates should live within a reasonable distance from the primary city. The geography includes the following states: Alabama Northern Mississippi Memphis, Tennessee The Immunology Field Reimbursement Manager, Gastroenterology, 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 and reimbursement in support of the assigned portfolio. 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 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 to 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
At least 3 years of pharma industry experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement Previous experience working within Immunology is a plus Bachelor's degree required 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 of Medicare and associated reimbursement dynamics Strong understanding of drug acquisition and dispensing (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 Valid driver's license: Ability to pass a pre-employment drug screening test and meet safe driving requirements An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives, and serving our community. Equal Opportunity Employer/Veterans/Disabled.
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AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas: immunology, oncology, neuroscience, and eye care, and products and services in our Allergan Aesthetics portfolio. This role is field-based, and candidates should live within a reasonable distance from the primary city. The geography includes the following states: Alabama Northern Mississippi Memphis, Tennessee The Immunology Field Reimbursement Manager, Gastroenterology, 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 and reimbursement in support of the assigned portfolio. 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 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 to 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
At least 3 years of pharma industry experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement Previous experience working within Immunology is a plus Bachelor's degree required 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 of Medicare and associated reimbursement dynamics Strong understanding of drug acquisition and dispensing (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 Valid driver's license: Ability to pass a pre-employment drug screening test and meet safe driving requirements An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives, and serving our community. Equal Opportunity Employer/Veterans/Disabled.
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