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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in access and reimbursement processes, including a strong understanding of payer policies and coding requirements. Proven ability to educate healthcare providers on patient support programs and maintain relationships within the healthcare landscape.
Highest-signal resume keywords
Access And Reimbursement ExpertiseManaged Health Care ExperiencePayer Account ManagementTerritory And Account Management SkillsUnderstanding Of Medicare Parts A, B, C, And D
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding And Billing RequirementsPayer ProcessesPatient Support ProgramsClaims SubmissionDrug Acquisition And DispensingSpecialty Pharmacy KnowledgeReimbursement DynamicsHealthcare Provider EducationAccess Issues ResolutionPayer Trends Reporting
Soft Skills
LeadershipRelationship BuildingCommunication
Certifications & Qualifications
Valid Driver's LicenseHCIR Credentialing Requirements
Industry Keywords
Managed CareSpecialty MedicinesHealthcare Provider OfficesAccess And Reimbursement Support ServicesCompliance Practices
About the role
Key responsibilities & impact- Act as an alternative in-office resource addressing healthcare provider questions about patient access
- Call directly on healthcare provider offices within an assigned geography
- Support AbbVie's Vraylar product through access and reimbursement expertise
- Educate healthcare providers on patient support programs, access and reimbursement tools, services, acquisition options, specialty pharmacy networks, and specialty distribution
- Advise healthcare provider offices on prescription status, program eligibility, access issues, payer processes, coding changes, and claims submission
- Provide local expertise on national and regional payer policies
- Liaise with AbbVie's Access and Reimbursement support center to update healthcare providers
- Report payer trends for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with providers within the territory
- Remain current on managed care, reimbursement, and policy activities
Requirements
What you’ll need- Bachelor's degree in health, sciences, pharmacy, or business-related field preferred, or relevant and equivalent industry experience required
- 3+ years of experience in a specific therapeutic area with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
- Excellent territory and account management skills
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines
- Strong track record of leadership within current role
- Strong understanding of coding and billing requirements at national and regional levels across all settings of care
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Strong understanding of drug acquisition and dispensing, including specialty pharmacies, specialty distributors, and white-bagging
- Understanding of rules, regulations, and risks associated with reimbursement support services
- Understanding of access and reimbursement support service centers and compliant interaction practices
- Valid driver's license
- Ability to pass a pre-employment drug screening test and meet safe driving requirements
- Must satisfy applicable HCIR credentialing requirements and be in good standing and/or eligible to obtain them, potentially including background checks, drug screens, immunization/vaccination proof, fingerprinting, and specific state or city licenses
Benefits
Comp & perks- Paid time off (vacation, holidays, sick)
- Medical, dental, and vision insurance
- 401(k)
- Eligibility to participate in long-term incentive programs
