Field Reimbursement Manager, Psychiatry

🔥 4 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $156.5k - $283.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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AbbVie

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2013

💊 Pharmaceuticals

🧬 Biotechnology

⚕️ Healthcare Insurance

Pharmaceuticals • Biotechnology • Healthcare Insurance

AbbVie is a global pharmaceutical company that discovers and delivers innovative medicines and solutions to enhance lives. With a focus on addressing the world's toughest health challenges, AbbVie operates in over 175 countries, providing a wide range of products across areas like immunology, oncology, neuroscience, and aesthetics. Committed to scientific innovation, AbbVie invests heavily in research and development, aiming to produce first-in-class medicines. The company also emphasizes workplace diversity, sustainability, and patient support initiatives, ensuring positive impact for both its patients and the broader community.

📋 Description

• 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

🎯 Requirements

• 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 • 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

🏖️ Benefits

• Paid time off (vacation, holidays, sick) • Medical/dental/vision insurance • 401(k) to eligible employees • Participation in long-term incentive programs