Field Reimbursement Manager, Advanced Parkinson’s
AbbVie
6 months ago
On-site
Jackson, TN
Market Access
Field-based role (candidates should live within a reasonable distance of the primary city). Talent will be hired at a level commensurate with experience.
Specific Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools/services
- Educate on product-specific acquisition/access options (e.g., specialty pharmacy networks and specialty distribution)
- Educate on resources available to address access issues
- Provide local expertise on national/regional payer policies (payer issues, coding changes, 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 providing reimbursement support services
- Thorough understanding of payer policy processes/systems for coverage, coding, and payment for specialty medicines
- Ability to communicate technical coding/billing requirements at national and regional levels
- Comprehensive understanding of Medicare Parts A, B, C, and D reimbursement dynamics
- Strong understanding of drug acquisition/dispensing in rare disease (e.g., Part B DME, Buy and Bill, specialty pharmacies/distributors)
- Strong understanding of access and reimbursement support service centers and compliant interaction
- Excellent territory and account management skills
- Bachelor’s degree
- Drive personal/company vehicle or powered material handling equipment; valid driver’s license; pass pre-employment drug screening and meet safe driving requirements
- Satisfy all HCIR credentialing requirements (may include background checks, drug screens, immunization/vaccination proof, fingerprinting, and required state/city licenses)
Benefits (as stated):
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) for eligible employees
- Eligible to participate in long-term incentive programs
Specific Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools/services
- Educate on product-specific acquisition/access options (e.g., specialty pharmacy networks and specialty distribution)
- Educate on resources available to address access issues
- Provide local expertise on national/regional payer policies (payer issues, coding changes, 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 providing reimbursement support services
- Thorough understanding of payer policy processes/systems for coverage, coding, and payment for specialty medicines
- Ability to communicate technical coding/billing requirements at national and regional levels
- Comprehensive understanding of Medicare Parts A, B, C, and D reimbursement dynamics
- Strong understanding of drug acquisition/dispensing in rare disease (e.g., Part B DME, Buy and Bill, specialty pharmacies/distributors)
- Strong understanding of access and reimbursement support service centers and compliant interaction
- Excellent territory and account management skills
- Bachelor’s degree
- Drive personal/company vehicle or powered material handling equipment; valid driver’s license; pass pre-employment drug screening and meet safe driving requirements
- Satisfy all HCIR credentialing requirements (may include background checks, drug screens, immunization/vaccination proof, fingerprinting, and required state/city licenses)
Benefits (as stated):
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) for eligible employees
- Eligible to participate in long-term incentive programs