Field Reimbursement Manager, Advanced Parkinson's
AbbVie
7 months ago
On-site
South Bend, IN
Market Access
This role is field-based. Candidates should live within a reasonable distance from the primary city.
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 and specialty distribution
- Educate on resources available to address access issues
- Provide local expertise on national/regional payor policies, including 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 payer trends 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 rules/regulations/risks for reimbursement support services
- Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines
- Strong understanding of coding and billing requirements at the National and Regional level across 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 rare disease (Part B DME, Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
- Strong understanding of access and reimbursement support service centers and compliant interaction
- Excellent territory and account management skills
- Bachelor’s degree
- Ability to drive a personal auto or company vehicle (or powered piece of material handling equipment)
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements
- Must satisfy applicable HCIR credentialing requirements to enter facilities/organizations in assigned territory
Benefits:
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k)
- Eligible for long-term incentive programs
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 and specialty distribution
- Educate on resources available to address access issues
- Provide local expertise on national/regional payor policies, including 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 payer trends 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 rules/regulations/risks for reimbursement support services
- Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines
- Strong understanding of coding and billing requirements at the National and Regional level across 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 rare disease (Part B DME, Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
- Strong understanding of access and reimbursement support service centers and compliant interaction
- Excellent territory and account management skills
- Bachelor’s degree
- Ability to drive a personal auto or company vehicle (or powered piece of material handling equipment)
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements
- Must satisfy applicable HCIR credentialing requirements to enter facilities/organizations in assigned territory
Benefits:
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k)
- Eligible for long-term incentive programs