Field Reimbursement Manager, Psychiatry

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

📋 Description

• Provide education to healthcare professionals (HCPs) on patient support programs, including tools and services for access and reimbursement assistance.

• Inform about product-specific acquisition and access options, such as specialty pharmacy networks and specialty distribution channels.

• Educate on the resources available to resolve access challenges.

• Offer local expertise concerning national and regional payer policies to inform providers about payer issues, coding updates, and suitable claims submission processes.

• Coordinate with AbbVie’s Access and Reimbursement support center to keep HCPs informed about prescription status and program eligibility.

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

• Relay payer trend information related to approved products to Patient Services and MHC account management teams.

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

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

⛳️ Requirements

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

• A minimum of 3 years of experience in a specific therapeutic area, with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement.

• Extensive experience in educating others on payer processes, requirements for coverage, and access-related issues for specialty medications.

• Proven leadership capabilities in the current role.

• Strong comprehension and ability to communicate the technical aspects of coding and billing requirements at both the National and Regional levels across all care settings.

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

• Solid understanding of drug acquisition and dispensing within the specific therapeutic area, including Specialty Pharmacies, Specialty Distributors, and white-bagging practices.

• Demonstrated knowledge of the rules, regulations, and risks associated with providing reimbursement support services.

• Strong grasp of access and reimbursement support service centers and effective compliant interaction protocols.

• A valid driver’s license and the ability to pass a pre-employment drug screening test while meeting safe driving standards.

🏝️ Benefits

• Paid time off, including vacation, holidays, and sick leave.

• Medical, dental, and vision insurance coverage.

• 401(k) plan available for eligible employees.

• Opportunity to participate in long-term incentive programs.