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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Neuroscience and Managed Health Care, with a strong understanding of access and reimbursement processes, including payer policies and coding requirements. Capable of effectively communicating complex technical information to healthcare providers and managing 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 RequirementsReimbursement DynamicsDrug Acquisition KnowledgeSpecialty Pharmacy Understanding
Soft Skills
Communication SkillsRelationship Building
Tools & Technologies
Access And Reimbursement Support Centers
Certifications & Qualifications
Valid Driver's LicenseHCIR Credentialing Requirements
Industry Keywords
Managed CareClaims Submission ProcessesMedicare Parts A, B, C, And DSpecialty DistributionWhite-Bagging
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
- 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 for addressing 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
- Stay 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 specialty medicine coverage, coding, and payment
- 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
- Understanding of Medicare Parts A, B, C, and D and 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 practices
- Territory and account management skills
- Bachelor's degree
- Valid driver's license
- Must satisfy applicable HCIR credentialing requirements and be in good standing or eligible to obtain them
Benefits
Comp & perks- Paid time off (vacation, holidays, sick)
- Medical, dental, and vision insurance
- 401(k)
- Long-term incentive program eligibility
- Remote work option
- HCIR credentialing support/resources
