act as an alternative in-office resource that is available to address HCP questions about patient access
call directly on HCP offices in their assigned geography to answer questions about patient access & reimbursement in support of the AbbVie Oral Migraine products
provide expertise on coverage and common access and reimbursement challenges affecting AbbVie Oral Migraine products
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
Extensive experience educating others on payer processes, requirement for coverage, and other access related situations 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 specific therapeutic area space (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.)
Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
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.