Field Reimbursement Manager, Advanced Parkinson’s

Role Summary

This field-based role serves as an in-office resource addressing HCP questions about patient access in support of Duopa and Vyalev. The FRM calls directly on HCP offices within a defined geography to educate on access, reimbursement, payer processes, and program eligibility, and to maintain local provider relationships. Candidates may live in Denver, Colorado; Oklahoma City, Oklahoma; or Kansas City, Kansas, and must be within a reasonable distance from the primary city.

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 for 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 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
• Excellent territory and account management skills
• Bachelor’s degree
• Driving a personal auto or company car or truck, or a powered piece of material handling equipment
• Valid driver’s license and the ability to pass a pre-employment drug screening
• Health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations in the assigned territory

Education

• Bachelor’s degree

Additional Requirements

• Must satisfy HCIR credentialing requirements (background checks, drug screens, immunization/vaccination, fingerprinting, etc.) to access facilities and organizations in the territory
• Ability to pass pre-employment drug screening and meet safe driving requirements