Access and Reimbursement Specialist

About AbbVie
AbbVie's mission is to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas: immunology, oncology, neuroscience, eye care, virology, women's health and gastroenterology, in addition to products and services across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com . Follow @abbvie on Twitter , Facebook , Instagram , YouTube and LinkedIn .

AbbVie through various initiatives has created a network of Access and Reimbursement (A&R) support resources to support patients navigating access and financial challenges while initiating AbbVie drug therapy.
US Commercial Business Technology Solutions is seeking to hire an A&R Specialist to identify opportunities and establish A&R resources to help our patients. This position will work with cross-functional teams to define the unmet A&R needs of the patients through their journey and to develop resources to help address A&R barriers that patients face that starting their prescribed therapy. The resource will be an A&R Subject Matter Expert with a good understanding of A&R market landscape which includes hub capabilities, understanding of NCPDP script standards utilized for claims adjudication, electronic prior authorization, electronic prescriptions, and financial assistance options . Combined with this knowledge, the resource will be responsible to manage BTS system and data specific solutions within US Commercial PS BTS organization.

Responsibilities

• Able to function as SME within A&R area by identifying current and emerging business needs, evaluating alternative products, and investigating available patient access resources in industry. Some illustration includes
  • Leveraging understanding of EMR / eRX systems, ePA systems, Pharmacy systems and processes adopted at providers and payers to reduce patients drug onboarding time.
  • Leveraging understanding of NCPDP telecommunication standards for claims adjudication, SCRIPT standards for eRX, NCPDP SCRIPT ePA transactions to evaluate opportunities for access support resources.
  • Leveraging understanding of copay solutions, coupons offered by companies like GoodRx, FinTech, PayTech and emerging innovative financial support options for patients.
• Creates A&R use case, opportunities, or resources for channel partners such as Wholesaler, Pharmacy, Hubs.
• Able to create use case materials, business presentations, requirement documentation, traceability maps. Work as a team player to effectively work across functional teams and identifies interdependencies.
• Effectively manage communications and expectations with internal and external stakeholders
• Take accountability to deliver multiple workstreams in parallel, by providing visibility on the status, benefits, costs, and risks.
• Responsible for compliance with applicable AbbVie Policies and procedures.
• Work with minimal oversight; deliverables and relationships are monitored through periodic reviews.

Qualifications

Qualifications

• Bachelor's degree or an equivalent combination of education and 10-12 years of related work experience. Healthcare or life sciences background preferred.
• Innovative thinking and the ability to leverage experience to be successful in an entrepreneurial environment.
• Knowledge of NCPDP telecommunication standards and pharmacy/medical claims adjudication systems and processes
• Knowledge of NCPDP SCRIPT standards and ePrescribing systems and processes
• Knowledge of NCPDP SCRIPT standards and ePA systems and processes
• Knowledge of FinTech, PayTech and emerging innovative financial support options for patients
• Knowledge of Copay support options, innovative solution providers such as GoodRx
• Knowledge of innovative pharmacy providers such as Pillpack or Health Brands and Direct to Consumer landscape
• Experience/knowledge of Reimbursement hub, Patient service model experience, and financial assistance programs.
• Exceptional communication and interpersonal skills, with proven ability to building trust, listen, and ask effective questions.
• Broad knowledge of Information Technology Systems, with strong understanding of the relationship between business processes, applications, databases, operating systems, processing platforms, storage platforms, security systems and networks
• Proven track record of effective project leadership and positive results. Ability to self-manage time and priorities.
• Experience leading a team with direct or indirect influence to deliver programs is required
• Excellent written and verbal communication skills including document proficiency
• Knowledge and experience in using MS tools

Significant Work Activities
Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)
Travel
No
Job Type
Experienced
Schedule
Full-time
Job Level Code
M
Equal Employment Opportunity
At AbbVie, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer we do not discriminate on the basis 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, protected veteran status, or any other legally protected characteristic.