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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 for specialty medicines, with a strong understanding of payer policies and coding requirements. Proven ability to educate healthcare providers on access options and maintain relationships within the territory.
Highest-signal resume keywords
Immunology ExperienceMarket Access ExpertisePayer Account ManagementAccess And Reimbursement KnowledgeTerritory 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
Payer Policy ProcessesCoding RequirementsReimbursement DynamicsMedicare Parts A, B, C, And DDrug Acquisition And DispensingSpecialty Pharmacy KnowledgeClaims Submission ProcessesPatient Support ProgramsAccess Tools And ServicesEducation And Training
Soft Skills
Communication SkillsRelationship BuildingLeadership SkillsTerritory ManagementAccount Management
Certifications & Qualifications
Bachelor's DegreeValid Driver's License
Industry Keywords
Specialty MedicinesAccess And Reimbursement SupportManaged CarePayer TrendsHealthcare Provider Education
About the role
Key responsibilities & impact- Serve as a field-based alternative in-office resource for HCP questions about patient access
- Call directly on HCP offices within an assigned geography
- Answer questions about patient access and reimbursement for the AbbVie immunology portfolio
- Educate HCPs on patient support programs, access and reimbursement tools, and services
- Educate on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support
- Educate providers on resources addressing access issues
- Provide local expertise on national and regional payer policies, payer issues, coding changes, and claims submission processes
- Liaise with AbbVie's Access and Reimbursement support center regarding prescription status and program eligibility
- Report payer trends for approved products to Patient Services and Market Access 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- At least 3 years of experience in immunology with experience in Market Access, Payer Account Management, and/or Access and Reimbursement
- Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines
- Understanding of rules, regulations, and risks associated with reimbursement support services
- Ability to communicate technical coding and billing requirements at national and regional levels across care settings
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Understanding of drug acquisition and dispensing in immunology specialty biologics, including Buy and Bill, specialty pharmacies, and specialty distributors
- Understanding of access and reimbursement support service centers and compliant interaction with them
- Excellent territory and account management skills
- Bachelor's degree
- Valid driver's license
- Willingness/ability to travel 50% of the time
- Additional qualifications include 5 or more years of industry experience in access and reimbursement or account management, extensive experience educating others on payer processes and specialty medicine access situations, and a strong track record of leadership within the current role
Benefits
Comp & perks- Paid time off (vacation, holidays, sick)
- Medical, dental, and vision insurance
- 401(k)
- Long-term incentive programs
- Travel compensation/arrangement associated with field-based role
