Field Reimbursement Manager, Advanced Parkinson’s

Role Summary

The Parkinson’s Field Reimbursement Manager (FRM) acts as an in-office resource that addresses HCP questions about patient access. The FRM visits HCP offices in a defined geography to answer questions about patient access and reimbursement in support of Duopa and Vyalev, providing expertise on coverage and common access and reimbursement challenges.

Responsibilities

• Educate HCPs on patient support programs, including access and reimbursement tools and services
• Educate on product-specific acquisition and access options such as specialty pharmacy networks and specialty distribution
• Educate on resources available to address access issues
• Provide local expertise regarding national/regional payor policies to educate providers on payer issues, coding changes, and appropriate claims submission processes
• Liaise with AbbVie‚Äôs 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 MHC account management teams
• Establish and maintain relationships with appropriate providers within territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years of experience in rare disease with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
• Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding, and payment for specialty medicines
• 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 rare disease space (Part B DME, 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‚Äôs degree
• Driving a personal auto or company car or truck, or a powered piece of material handling equipment
• Valid driver‚Äôs license: Ability to pass a pre-employment drug screening test and meet safe driving requirements
• HCIR credentialing requirements to gain and maintain entry into facilities and organizations within the assigned territory; must be in good standing or eligible to obtain these credentials

Skills

• Strong communication of complex payer and coding concepts
• Relationship building with providers and healthcare teams
• Ability to navigate payer processes and compliance requirements

Education

• Bachelor‚Äôs degree