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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 coding, billing requirements, and payer policies. Proven ability to educate healthcare providers on patient support programs and maintain relationships within the healthcare ecosystem.
Highest-signal resume keywords
Access And Reimbursement ExpertiseManaged Health Care ExperiencePayer Account ManagementCoding And Billing KnowledgeTerritory And Account Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Access EducationReimbursement ToolsSpecialty Pharmacy KnowledgeMedicare Parts A, B, C, And D UnderstandingClaims Submission ProcessesDrug Acquisition And DispensingPayer Policy AnalysisAccess Issues ResolutionCoverage Requirements KnowledgeHealthcare Provider Liaison
Soft Skills
Strong LeadershipRelationship BuildingEffective CommunicationTerritory ManagementProblem Solving
Certifications & Qualifications
Valid Driver’s LicenseHCIR Credentialing Requirements
Industry Keywords
Managed CareReimbursement DynamicsSpecialty MedicinesAccess Support ServicesHealthcare Compliance
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 the assigned geography
- Provide expertise on coverage and common access and reimbursement challenges affecting AbbVie products
- 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 to update HCPs 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 business-related field preferred, or relevant and equivalent industry experience required
- 3+ years of experience in the 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 leadership track record 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 or eligible to obtain them
- May require 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
- 401(k)
- Eligibility to participate in long-term incentive programs
- Remote work option
- Company car or truck may be used for driving duties
