Insurance Access Manager Abbott Laboratories

What You ll Work On

Develop insurance companies strategies plan to achieve

• Proper item listing and reimbursement.
• Proper coverage criteria.
• Proper coding and approved indications.

• Create long term engagement plan with insurance companies.
• Monitor policy and regulatory insurance market changes and define business threats and opportunities.
• Agree with insurance companies on coding of Abbott products and mapping.
• Field visit and regular engagement with insurance companies KOL in medical and clinical governance and approval department.

Develop hospital insurance access plan with insurance managers, delegates, approval and claiming department to guarantee

• Full dispensing and approval cycle monitoring.
• Mitigate any rejection of Abbott products.
• Agreed on items coverage criteria.
• Identify any dispensing gap and coordinate with insurance companies if needed.
• Share insights for coding and indications, approval submission data for Abbott products.
• Conduct regular field visits and group meeting along with creation and presentation of insurance patient profile.

Cross functional and internal stakeholder collaboration including

• Commercial and trade team support for provider and payer insurance statues.
• Collaborate and support medical representatives to mitigate insurance risks inside hospitals.
• Collaborate with medical team for item coding and coverage criteria.
• Monitor and update new insurance regulation with internal RA , marketing, and sales team.
• Support product selection and proactive launching activities of new product.
• Induction and training of medical representatives (day to day field challenges and new dynamics).

Maximize commercial access opportunities and mitigate new market challenges by

INN prescription rules readiness and risk mitigation strategy

• Share dynamics and regulations with all internal stakeholders.
• Collaborate with all teams to monitor implementation process across hospitals.
• Analyze expected impact and risk.
• Support trade and commercial team decision with innovative listing techniques.

IDF Project implementation

• Capture insights and feedback from project regulator and executers (CCHI-IQVIA-Accumed-Nephies team).
• Monitor Abbott item positioning and agreed coverage points.
• Calculate insurance classes categorization business impact.
• Capture feedback and insights of insurance companies and implementation plan from this side.
• Participate in hospital purchasing meeting with trade KAM to assure proper enlisting process.
• Work on hospital profile project from insurance perspective and impact on private business.

Private market access activity lead

Support adapting of MCDA concept with trade and hospital purchasing department.

Define HTA , economic concept and how to use to maximize patient and product access.