Field Reimbursement Manager, Immunology Gastroenterology

Des Moines, IA - USA

Monthly Salary: Not Disclosed

Posted on: 8 hours ago

Vacancies: 1 Vacancy

Job Summary

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 in regards to national/regional payor policies in order to educate providers on payer issues coding changes and appropriate claims submission processes
Liaise with Abbvies Access and Reimbursement support center to update HCPs on Rx status and program eligibility
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

Qualifications :

Qualifications

At least 3 years of experience in Neuroscience with experience in Managed Health Care Payer Account Management and/or Access and Reimbursement
Thorough understanding of the technical payer policy processes systems and requirements for coverage coding and payment for specialty medicines
Demonstrated understanding of the rules regulations and risks associated with provision of reimbursement support services
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 Neuroscience space (Specialty Pharmacies Specialty Distributors and white-bagging etc.).Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
Excellent territory and account management skills
Bachelors degree/ Valid drivers license
An essential requirement of your position is to 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. You must also be in good standing and/or eligible to obtain these credentials.
These 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. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities.

Additional Information :

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:

The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at thetime of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic locationand we may ultimately pay more or less than the posted range. This range may be modified in the future.
We offer a comprehensive package of benefits including paid time off (vacation holidays sick) medical/dental/vision insurance and 401(k) to eligible employees.
This job is eligible to participate in our short-term incentive programs.

Note: No amount of pay is considered to be wages or compensation until such amount is earned vested and determinable. The amount and availability of anybonus commission incentive benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys soleand absolute discretion unless and until paid and may be modified at the Companys sole and absolute discretion consistent with applicable law.

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 & Puerto Rico applicants seeking a reasonable accommodation click here to learn more:

Work :

Yes

Employment Type :

Full-time

ResponsibilitiesEducate HCPs on patient support programs including access and reimbursement support tools and servicesEducate on product-specific acquisition and access options such as specialty pharmacy networks and specialty distributionEducate on resources available to address access issuesProvid...

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 in regards to national/regional payor policies in order to educate providers on payer issues coding changes and appropriate claims submission processes
Liaise with Abbvies Access and Reimbursement support center to update HCPs on Rx status and program eligibility
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

Qualifications :

Qualifications

At least 3 years of experience in Neuroscience with experience in Managed Health Care Payer Account Management and/or Access and Reimbursement
Thorough understanding of the technical payer policy processes systems and requirements for coverage coding and payment for specialty medicines
Demonstrated understanding of the rules regulations and risks associated with provision of reimbursement support services
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 Neuroscience space (Specialty Pharmacies Specialty Distributors and white-bagging etc.).Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
Excellent territory and account management skills
Bachelors degree/ Valid drivers license
An essential requirement of your position is to 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. You must also be in good standing and/or eligible to obtain these credentials.
These 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. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. to AbbVie has resources to answer questions you may have regarding your responsibilities.

Additional Information :

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:

The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at thetime of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic locationand we may ultimately pay more or less than the posted range. This range may be modified in the future.
We offer a comprehensive package of benefits including paid time off (vacation holidays sick) medical/dental/vision insurance and 401(k) to eligible employees.
This job is eligible to participate in our short-term incentive programs.

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 & Puerto Rico applicants seeking a reasonable accommodation click here to learn more:

Work :

Yes

Employment Type :

Full-time

Key Skills

Time Management
Construction Experience
Managed Care
Management Experience
Microsoft Outlook
Utilization Management
Case Management
Pediatrics Experience
Salesforce
Relationship Management
Leadership Experience
Supervising Experience

Apply Now

About Company

AbbVie

AbbVie is a global biopharmaceutical company focused on creating medicines and solutions that put impact first for patients, communities, and our world. We aim to address complex health issues and enhance people's lives through our core therapeutic areas: immunology, oncology, neuro ... View more

View Profile View Profile

AI AutoApply

Apply to 100+ jobs with one click