Field Reimbursement Manager, Advanced Parkinson's
AbbVie
7 months ago
On-site
Fort Wayne, IN
Market Access
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 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 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 providing reimbursement support services
- Thorough understanding of 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 Medicare Parts A, B, C, and D 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 interact in a compliant fashion
- Excellent territory and account management skills
- Bachelor’s degree
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements
- Drive personal auto/company vehicle or powered material handling equipment
- Satisfy applicable HCIR credentialing requirements to gain and maintain entry to facilities in assigned territory
Benefits (as stated):
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, 401(k); eligible for long-term incentive programs
- 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 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 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 providing reimbursement support services
- Thorough understanding of 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 Medicare Parts A, B, C, and D 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 interact in a compliant fashion
- Excellent territory and account management skills
- Bachelor’s degree
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements
- Drive personal auto/company vehicle or powered material handling equipment
- Satisfy applicable HCIR credentialing requirements to gain and maintain entry to facilities in assigned territory
Benefits (as stated):
- Paid time off (vacation, holidays, sick), medical/dental/vision insurance, 401(k); eligible for long-term incentive programs