现场报销经理 - 口服偏头痛
Field Reimbursement Manager - Oral Migraine
关于艾伯维
艾伯维的使命是发现并提供创新药物和解决方案，解决当前严重的健康问题，并应对未来的医疗挑战。我们致力于在多个关键治疗领域产生显著影响，包括免疫学、肿瘤学和神经科学——以及我们Allergan Aesthetics产品组合中的产品和服务。有关艾伯维的更多信息，请访问我们的网站 www.abbvie.com。关注我们在 LinkedIn、Facebook、Instagram、X 和 YouTube 上的账号。
领域报销经理（FRM）- 神经科学作为办公室内的替代资源，负责解答医疗保健专业人员（HCP）关于患者获取渠道的问题。FRM会直接联系其指定地理区域内的HCP办公室，以支持艾伯维神经科学产品组合，解答有关患者获取和报销的问题。FRM具备关于覆盖范围和常见获取与报销挑战的专业知识，这些挑战会影响艾伯维神经科学产品。FRM的职责包括向HCP介绍艾伯维提供的获取和报销支持工具，指导HCP了解患者的处方状态和项目资格，并向HCP办公室介绍保险公司的流程和程序。
具体职责：
· 向HCP介绍患者支持计划，包括获取和报销支持工具及服务
· 介绍特定产品的获取和获取选项，如专科药房网络和专科分销
· 介绍可用于解决获取问题的资源
· 提供本地专业知识，以解释保险公司政策，教育医务人员关于保险问题、编码变更和适当的索赔提交流程
· 与艾伯维的获取和报销支持中心联络，向HCP更新处方状态和项目资格
· 向患者服务和MHC客户管理团队报告已批准产品的保险趋势
· 在管辖区域内建立并维护与适当医务人员的关系
· 及时了解关键的管理护理、报销和政策活动
- 至少3年神经科学领域经验，有管理医疗保健、保险公司账户管理、获取和报销相关经验者优先
- 对保险公司的技术政策流程、系统和要求有深入了解，包括特殊药物的覆盖、编码和支付
- 具备对相关规定、法规和与医疗服务提供者相关的风险的明确理解
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About AbbVie
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.
This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience.
Candidates may live in the following cities:
· Pittsburg, PA
The Field Reimbursement Manager (FRM) - Neuroscience acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the AbbVie Neuroscience portfolio. The FRM provides expertise on coverage and common access and reimbursement challenges affecting AbbVie Neuroscience products. The FRM responsibilities include educating on the access and reimbursement support tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.
Specific 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 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
- 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 medicine
- Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support service
- 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
- Bachelor’s degree
- Valid driver’s 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.
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 the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and 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 long-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 any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s 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.
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