AbbVie Inc.
Location
Kansas | United States
Job description
The Immunology Field Access Specialist (FAS) acts as an alternative in-office resource that is available to address HCP questions about patient access. The FAS calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the AbbVie immunology portfolio. The FAS provides expertise on coverage and common access and reimbursement challenges affecting AbbVie immunology products. The FAS responsibilities include educating on the access and reimbursement support tools available from Abbvie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.
Specific Responsibilities:
• Educate HCPs on patient support programs, including access and reimbursement support tools and services
• Educate on product-specific acquisition and access options such as specialty pharmacy networks, specialty distribution, and white-bagging support
• Educate on resources available to address access issues
• Provide local expertise in regards to national/regional payor policies in order to educate providers on payer issues, coding changes, and appropriate claims submission processes
• Liaise with Abbvie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
• Report back payer trends related for approved products to Patient Services and Market Access account management teams
• Establish and maintain relationships with appropriate providers within territory
• Remain current on key managed care, reimbursement, and policy activities
Qualifications:
· Grade 18
· At least 3 years of experience in immunology with experience in Market Access, Payer Account Management, and/or Access and Reimbursement
· Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty medicines
· Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
· Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care
· Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics
· Strong understanding of drug acquisition and dispensing in the immunology specialty biologics space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
· Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
· Excellent territory and account management skills
· Bachelor’s degree
· Valid driver’s license
Additional Grade 19 Qualifications
US Credentialing Requirement:
An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials. These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. AbbVie has resources available to you to help answer questions you may have regarding your responsibilities.
AbbVie is committed to operating with integrity, driving innovation, transforming lives, serving our community, and embracing diversity and inclusion. It is AbbVie’s policy to employ qualified persons of the greatest ability without discrimination against any employee or applicant for employment because of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information, gender identity or expression, sexual orientation, marital status, status as a protected veteran, or any other legally protected group status.
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