Field Reimbursement Manager, Advanced Parkinson’s
AbbVie
6 months ago
On-site
Tulsa, OK
Market Access
This role is field-based. Candidates should live within a reasonable distance from the primary city (Dallas, TX; Oklahoma City, OK; Tulsa, OK). Candidates are hired at a level commensurate with experience.
Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools/services
- Educate on product-specific acquisition/access options (specialty pharmacy networks, 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)
- 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
- Stay current on 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 for coverage, coding, and payment for specialty medicines
- Ability to communicate coding/billing requirements nationally and regionally across care settings
- Comprehensive understanding of Parts A, B, C, and D (Medicare) and reimbursement dynamics
- Strong understanding of drug acquisition/dispensing in rare disease (Part B DME, Buy and Bill, Specialty Pharmacies/Distributors)
- Strong understanding of access/reimbursement support service centers and compliant interaction
- Excellent territory and account management skills
- Bachelor’s degree
- Ability to drive (personal or company vehicle/equipment) and maintain a valid driver’s license; pass pre-employment drug screening and meet safe driving requirements
- Satisfy HCIR credentialing requirements to enter facilities in assigned territory (may include background checks, drug screens, immunization proof, fingerprinting, and state/city licenses)
Benefits (as stated):
- Paid time off (vacation, holidays, sick); medical/dental/vision insurance; 401(k)
- Eligible for long-term incentive programs
Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools/services
- Educate on product-specific acquisition/access options (specialty pharmacy networks, 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)
- 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
- Stay current on 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 for coverage, coding, and payment for specialty medicines
- Ability to communicate coding/billing requirements nationally and regionally across care settings
- Comprehensive understanding of Parts A, B, C, and D (Medicare) and reimbursement dynamics
- Strong understanding of drug acquisition/dispensing in rare disease (Part B DME, Buy and Bill, Specialty Pharmacies/Distributors)
- Strong understanding of access/reimbursement support service centers and compliant interaction
- Excellent territory and account management skills
- Bachelor’s degree
- Ability to drive (personal or company vehicle/equipment) and maintain a valid driver’s license; pass pre-employment drug screening and meet safe driving requirements
- Satisfy HCIR credentialing requirements to enter facilities in assigned territory (may include background checks, drug screens, immunization proof, fingerprinting, and state/city licenses)
Benefits (as stated):
- Paid time off (vacation, holidays, sick); medical/dental/vision insurance; 401(k)
- Eligible for long-term incentive programs