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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Neuroscience access and reimbursement, with a thorough understanding of payer policies, coding, and Medicare reimbursement dynamics. Proven ability to educate healthcare providers on patient support programs and maintain strong relationships within the territory.
Highest-signal resume keywords
Neuroscience ExperienceManaged Health Care 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 RequirementsMedicare Parts A, B, C, and DDrug Acquisition and DispensingReimbursement Dynamics
Soft Skills
Communication SkillsRelationship BuildingTerritory Management
Tools & Technologies
Patient Support ProgramsAccess and Reimbursement ToolsSpecialty Pharmacy Networks
Certifications & Qualifications
HCIR Credentialing
Industry Keywords
Healthcare ProviderClaims Submission ProcessesManaged CareSpecialty MedicineAccess Issues
About the role
Key responsibilities & impact- Serve as an alternative in-office resource addressing healthcare provider questions about patient access
- Call directly on HCP offices within an assigned geography
- Provide expertise on coverage and common access and reimbursement challenges affecting AbbVie Neuroscience 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 regarding prescription status and program eligibility
- 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- At least 3 years of experience in Neuroscience with experience in Managed Health Care, 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 medicine
- 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 all settings of care
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Understanding of drug acquisition and dispensing in Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging
- Understanding of access and reimbursement support service centers and compliant interaction methods
- Excellent territory and account management skills
- Bachelor's degree
- Valid driver's license
- Must satisfy applicable HCIR credentialing requirements and be in good standing and/or eligible to obtain them
- Ability to travel 50% of the time
Benefits
Comp & perks- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance
- 401(k)
- Participation in long-term incentive programs
