Field Reimbursement Manager, Eye Care

Field Reimbursement Manager, Eye Care

BioSpace presents an opportunity with AbbVie.

Company Description

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—immunology, oncology, neuroscience, eye care—and products and services in the Allergan Aesthetics portfolio.

Job Description

This role is field-based; candidates should live within a reasonable distance from the primary city. The geography encompasses six states and major cities including Phoenix, AZ; Denver, CO; Salt Lake City, UT; and Las Vegas, NV.

The Field Reimbursement Manager (FRM) acts as an alternative in‑office resource to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned geography to answer questions about patient access & reimbursement in support of Eye Care. The FRM provides expertise on coverage and common access and reimbursement challenges affecting the Eye Care portfolio of buy and bill products. 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.

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, specialty distribution, and white‑bagging support
• Educate on resources available to address access issues
• Provide local expertise regarding national/regional payer 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 payer trends related to approved products to Patient Services and Market Access account management teams
• Establish and maintain relationships with appropriate providers within territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years of experience in Buy and Bill Access and Reimbursement, Payer Account Management, and/or Market Access
• 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 the 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 Eye Care space (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
• Driving a personal auto or company vehicle or compliant material handling equipment
• 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 and be in good standing to maintain entry into facilities and organizations within the assigned territory

Talent will be hired at a level commensurate with experience.

Additional Information

• 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 posting, based on the job grade for this position. Individual compensation 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 short‑term incentive programs.

Compensation

US & Puerto Rico only – the salary range is $139,000.00 – $250,500.00.

Equal Opportunity Statement

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

Accommodation Statement

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