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 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
- 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 rare disease with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
- Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
- Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding, and payment for specialty medicines
- 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 rare disease space (Part B DME, Buy and Bill, Specialty Pharmacies, Specialty Distributors, 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
- Bachelor’s degree
- Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
- Must satisfy all applicable health care industry representative (HCIR) credentialing requirements.
Benefits
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k) to eligible employees
- Long-term incentive programs