Field Reimbursement Manager, Advanced Parkinson's
AbbVie
7 months ago
On-site
Springfield, MA
Market Access
This role is field-based. Candidates should live within a reasonable distance from the primary city.
Candidates may live in: Hartford, CT; New Haven, CT; Springfield, MA.
The Parkinson’s Field Reimbursement Manager (FRM) is an alternative in-office resource available to address HCP questions about patient access. The FRM calls on HCP offices in their assigned geography to answer questions about patient access and reimbursement in support of Duopa and Vyalev. The FRM provides expertise on coverage and common access and reimbursement challenges affecting Duopa and Vyalev. Responsibilities include educating on AbbVie access and reimbursement support tools, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.
Specific Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools and services
- Educate on product-specific acquisition and access options (e.g., specialty pharmacy networks and specialty distribution)
- Educate on resources available to address access issues
- Provide local expertise on national/regional payor policies, including 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 for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with appropriate providers within the territory
- Stay 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, and risks associated with reimbursement support services
- Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines
- Ability to communicate technical 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 rare disease (e.g., Part B DME, Buy and Bill, Specialty Pharmacies, Specialty Distributors)
- Strong understanding of access and reimbursement support service centers and how to interact compliantly
- Excellent territory and account management skills
- Bachelor’s degree
- Driving a personal auto or company car/truck, or a powered piece of material handling equipment
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements
- Ability to satisfy applicable Health Care Industry Representative (HCIR) credentialing requirements to gain/maintain facility entry (may include background checks, drug screens, immunization/vaccination proof, fingerprinting, and state/city-specific licenses)
Benefits:
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k) to eligible employees
- Eligible for long-term incentive programs
Candidates may live in: Hartford, CT; New Haven, CT; Springfield, MA.
The Parkinson’s Field Reimbursement Manager (FRM) is an alternative in-office resource available to address HCP questions about patient access. The FRM calls on HCP offices in their assigned geography to answer questions about patient access and reimbursement in support of Duopa and Vyalev. The FRM provides expertise on coverage and common access and reimbursement challenges affecting Duopa and Vyalev. Responsibilities include educating on AbbVie access and reimbursement support tools, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.
Specific Responsibilities:
- Educate HCPs on patient support programs, including access and reimbursement support tools and services
- Educate on product-specific acquisition and access options (e.g., specialty pharmacy networks and specialty distribution)
- Educate on resources available to address access issues
- Provide local expertise on national/regional payor policies, including 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 for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with appropriate providers within the territory
- Stay 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, and risks associated with reimbursement support services
- Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines
- Ability to communicate technical 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 rare disease (e.g., Part B DME, Buy and Bill, Specialty Pharmacies, Specialty Distributors)
- Strong understanding of access and reimbursement support service centers and how to interact compliantly
- Excellent territory and account management skills
- Bachelor’s degree
- Driving a personal auto or company car/truck, or a powered piece of material handling equipment
- Valid driver’s license; ability to pass pre-employment drug screening and meet safe driving requirements
- Ability to satisfy applicable Health Care Industry Representative (HCIR) credentialing requirements to gain/maintain facility entry (may include background checks, drug screens, immunization/vaccination proof, fingerprinting, and state/city-specific licenses)
Benefits:
- Paid time off (vacation, holidays, sick)
- Medical/dental/vision insurance
- 401(k) to eligible employees
- Eligible for long-term incentive programs