Field Reimbursement Manager

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Serve as an alternative in-office resource to address healthcare provider (HCP) inquiries regarding patient access.

• Conduct visits to HCP offices within the designated geographical area.

• Offer expertise on coverage and common challenges related to access and reimbursement impacting AbbVie products.

• Inform HCPs about patient support programs, access tools, reimbursement resources, and services.

• Deliver education on product-specific acquisition and access options, including specialty pharmacy networks and channels for specialty distribution.

• Provide insights on resources available to tackle access issues.

• Share local knowledge on national and regional payer policies, coding modifications, and claims submission procedures.

• Collaborate with AbbVie’s Access and Reimbursement support center to keep HCPs updated on prescription statuses and program eligibility.

• Report payer trends for approved products to Patient Services and MHC account management teams.

• Build and sustain relationships with relevant providers within the territory.

• Stay informed about managed care, reimbursement, and policy developments.

⛳️ Requirements

• A Bachelor’s degree in health, sciences, pharmacy, or a business-related field is preferred, or equivalent relevant industry experience is required.

• A minimum of 3 years of experience in the specific therapeutic area.

• Experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement.

• Exceptional skills in territory and account management.

• Extensive experience in educating others about payer processes, coverage prerequisites, and access-related aspects for specialty medications.

• Proven leadership capabilities in the current role.

• Strong comprehension of coding and billing requirements at both national and regional levels across various care settings.

• In-depth understanding of Medicare Parts A, B, C, and D, along with associated reimbursement dynamics.

• Solid grasp of drug acquisition and dispensing processes, including specialty pharmacies, specialty distributors, and white-bagging practices.

• Knowledge of the rules, regulations, and risks linked to reimbursement support services.

• Familiarity with access and reimbursement support service centers and compliant interaction standards.

• A valid driver’s license is required.

• Must be able to pass a pre-employment drug screening and meet safe driving criteria.

• Must fulfill applicable HCIR credentialing requirements and be in good standing or eligible to obtain them.

• Background checks, drug tests, proof of immunizations/vaccinations, fingerprinting, and specific state or city licenses may be required.

🏝️ Benefits

• Paid time off, which includes vacation, holidays, and sick leave.

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility for participation in long-term incentive programs.

• Option for remote work.

• Company vehicle may be provided for driving responsibilities.