Field Reimbursement Manager, Advanced Parkinson’s

Role Summary

This is a field-based role; candidates should live within a reasonable distance from the primary city. Eligible cities include Houston, TX; Little Rock, AR; New Orleans, LA. The Parkinson’s Field Reimbursement Manager (FRM) serves as an in-field resource to address HCP questions about patient access and reimbursement for Duopa and Vyalev, visiting providers in the assigned geography to counsel on coverage, reimbursement challenges, and program eligibility, and to educate on AbbVie access tools and payer processes.

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’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
• Report back payer trends related to 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
• Driving a personal auto or company car or truck, or a powered piece of equipment
• Valid driver’s license: Ability to pass a pre-employment drug screening test and meet safe driving requirements
• An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory
• These HCIR credentialing requirements may include background checks, drug screens, immunization/vaccination, fingerprinting and licenses as required by state or city; you are responsible for satisfying these requirements

Education

• Bachelor’s degree