Field Reimbursement Manager, Advanced Parkinson’s
AbbVie
6 months ago
On-site
Los Angeles, CA
Market Access
Field-based role covering Southern California (Los Angeles, Irvine, San Diego).
Specific Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools/services
- Educate on product-specific acquisition and access options (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, 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 in territory
- Stay current on managed care, reimbursement, and policy activities
Qualifications:
- At least 3 years of experience in Neuroscience with experience in Managed Health Care, Payer Account Management, and/or Access & Reimbursement
- Thorough understanding of technical payer policy processes/systems for coverage, coding, and payment for specialty medicines
- Demonstrated understanding of rules/regulations/risks related to providing reimbursement support services
- Ability to communicate technical coding and billing requirements nationally and regionally across settings of care
- Comprehensive understanding of Parts A, B, C, and D (or Medicare) and associated reimbursement dynamics
- Strong understanding of drug acquisition/dispensing in neuroscience (specialty pharmacies, specialty distributors, white-bagging) and compliant interaction with access/reimbursement service centers
- Excellent territory and account management skills
- Bachelor’s degree and/or valid driver’s license
- Ability to satisfy HCIR credentialing requirements for facility/organization entry in assigned territory (may include background checks, drug screens, immunization proof, fingerprinting, and required state/city licenses)
Benefits:
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) (eligible employees)
- Long-term incentive program eligibility
Specific Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools/services
- Educate on product-specific acquisition and access options (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, 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 in territory
- Stay current on managed care, reimbursement, and policy activities
Qualifications:
- At least 3 years of experience in Neuroscience with experience in Managed Health Care, Payer Account Management, and/or Access & Reimbursement
- Thorough understanding of technical payer policy processes/systems for coverage, coding, and payment for specialty medicines
- Demonstrated understanding of rules/regulations/risks related to providing reimbursement support services
- Ability to communicate technical coding and billing requirements nationally and regionally across settings of care
- Comprehensive understanding of Parts A, B, C, and D (or Medicare) and associated reimbursement dynamics
- Strong understanding of drug acquisition/dispensing in neuroscience (specialty pharmacies, specialty distributors, white-bagging) and compliant interaction with access/reimbursement service centers
- Excellent territory and account management skills
- Bachelor’s degree and/or valid driver’s license
- Ability to satisfy HCIR credentialing requirements for facility/organization entry in assigned territory (may include background checks, drug screens, immunization proof, fingerprinting, and required state/city licenses)
Benefits:
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, and 401(k) (eligible employees)
- Long-term incentive program eligibility