Reimbursement Business Advisor - Central & South NJ
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.
The Reimbursement Business Advisor (RBA) is responsible for the coordination and execution of reimbursement and operational practice support. We strive to provide support and education for appropriate patient access, ensure safe and effective use of therapeutic BOTOX® for approved indications.
Successful candidates should have at least three of the following types of experience:
Buy & Bill
Sales, Sales Management or Consulting
Knowledge of Integrated Health Systems
Job Responsibilities include:
Effectively work with health care provider accounts and facilities to support patient access for BOTOX® therapeutics. The RBA does this through 1) product-specific provider reimbursement support, 2) coordination reimbursement services, and 3) managing payer/coverage pull-through initiatives.
Manage an assigned territory and provide Allergan product reimbursement assistance and approved support tools and resources to health care providers in physician practices, hospitals and surgical facilities.
Assist health care providers and support staff work through reimbursement barriers and understand the payer landscape.
Work effectively with multiple key Abbvie stakeholders (sales, marketing, managed markets, compliance, legal, and regulatory) in a matrixed environment to achieve targeted MBOs and meet established KPIs.
This territory includes Central/South NJ and a small part of Philadelphia PA.
Bachelor’s degree, MBA desirable
A minimum of 5 years of proven success in a health care related field
Experience with benefit verifications, prior authorizations, claim assistance, and appeals
CPT III and/or Miscellaneous J-code reimbursement
Specialty Pharmacy and Buy & Bill acquisition
Strong medical and pharmacy reimbursement experience with HUB services
Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial and Medicaid plans.
A Valid Driver’s License
Ability to travel adequately to cover territory, as well as overnight travel and attendance at scheduled training and meetings.
Significant Work Activities
Driving a personal auto or company car or truck, or a powered piece of material handling equipment
Yes, 5 % of the Time
Job Level Code
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.