Field Reimbursement Manager, Immunology, Gastroenterology
India
Full Time
2 weeks ago
$124,500 - $236,500 USD
Visa Sponsorship
Key skills
CAccount Management
About this role
Role Overview
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 Abbvie’s 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
Requirements
At least 3 years of experience in Immunology 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