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About the Role
The Eye Care Field Reimbursement Manager (FRM) acts as an alternative in-office resource to address HCP questions about patient access and reimbursement for AbbVie Eye Care products. The FRM provides expertise on coverage and common access and reimbursement challenges, educates on support tools, advises on patient prescription status and program eligibility, and educates HCP offices on payer processes and procedures.
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 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 and excellent territory and account management skills.
- 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.
- Driving a personal auto or company car or truck, or a powered piece of material handling equipment.
- 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.
- Be in good standing and/or eligible to obtain HCIR credentials.
- HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities.
- Sole responsibility for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so.
Skills
- Managed Health Care
- Payer Account Management
- Access and Reimbursement
- Territory management
- Account management
- Coding
- Billing
Location
- Los Angeles, CA
- San Francisco, CA
- San Diego, CA
- Sacramento, CA
- San Jose, CA
Work Type
- Field-based
- Full-time
Experience Level
- Commensurate with experience
Education Level
- Bachelor’s degree in health, sciences, pharmacy or business-related field preferred or relevant and equivalent industry experience required
Salary/Compensations
- USD 139000 - USD 250500 - yearly
Benefits
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k)
- Long-term incentive programs
About the Company
- 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 including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio.
- For more information about AbbVie, please visit us at www.abbvie.com.
- Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.
Equal Opportunity
- 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.
- US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html
- US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: https://www.abbvie.com/join-us/reasonable-accommodations.html