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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access and reimbursement processes, with a strong understanding of coding, billing requirements, and payer policies. Proven ability to educate healthcare providers on access-related issues and maintain relationships within the healthcare landscape.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement KnowledgeManaged Health Care ExperienceTerritory Management SkillsLeadership Experience
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 RequirementsBilling RequirementsPayer PoliciesAccess Support ServicesSpecialty Pharmacy KnowledgeMedicare Parts A, B, C, DDrug AcquisitionClaims Submission ProcessesEducation on Coverage RequirementsAccess-Related Situations
Soft Skills
Relationship BuildingCommunication SkillsTerritory ManagementAccount Management
Certifications & Qualifications
Health Care Industry Representative Credentialing
Industry Keywords
Managed CarePayer Account ManagementPatient Support ProgramsSpecialty DistributionAccess IssuesReimbursement DynamicsCompliance Practices
About the role
Key responsibilities & impact- Act as an alternative in-office resource addressing HCP questions about patient access
- Call directly on HCP offices within an assigned geography
- Support AbbVie Vraylar products on patient access and reimbursement matters
- Educate HCPs on patient support programs, access and reimbursement tools, and services
- Educate on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution
- Educate on resources available to address access issues
- Provide local expertise on national and regional payer policies, coding changes, and claims submission processes
- Liaise with AbbVie’s Access and Reimbursement support center on prescription status and program eligibility
- Report payer trends for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with appropriate 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 a business-related field preferred, or relevant and equivalent industry experience required
- 3+ years of experience in a specific therapeutic area
- 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
- Strong 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
- Ability to drive a personal auto, company car or truck, or powered material-handling equipment
- Must satisfy applicable health care industry representative credentialing requirements and be in good standing and/or eligible to obtain them
- May need to meet background checks, drug screens, immunization/vaccination proof, fingerprinting, and specific state or city licenses
Benefits
Comp & perks- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance for eligible employees
- 401(k) for eligible employees
- Eligibility to participate in long-term incentive programs
