Field Reimbursement Manager

🔥 12 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $139k - $250.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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AbbVie

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2013

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

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

• Act as an alternative in-office resource addressing HCP questions about patient access • Call directly on HCP offices within the assigned geography • Provide expertise on coverage and common access and reimbursement challenges affecting AbbVie products • 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 available to address 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 to update HCPs on prescription status and program eligibility • Report payer trends for approved products to Patient Services and MHC account management teams • Establish and maintain relationships with appropriate providers within the territory • Remain current on 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 the specific therapeutic area • Experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement • Excellent territory and account management skills • Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines • Strong leadership track record within current role • Strong understanding of coding and billing requirements at national and regional levels across all settings of care • Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics • Strong understanding of drug acquisition and dispensing, including specialty pharmacies, specialty distributors, and white-bagging • Understanding of rules, regulations, and risks associated with reimbursement support services • Understanding of access and reimbursement support service centers and compliant interaction practices • Valid driver’s license • Ability to pass a pre-employment drug screening test and meet safe driving requirements • Must satisfy applicable HCIR credentialing requirements and be in good standing or eligible to obtain them • May require background checks, drug screens, immunization/vaccination proof, fingerprinting, and specific state or city licenses

🏖️ Benefits

• Paid time off, including vacation, holidays, and sick leave • Medical, dental, and vision insurance • 401(k) • Eligibility to participate in long-term incentive programs • Remote work option • Company car or truck may be used for driving duties