Field Reimbursement Manager – Parkinsons

Job Description:

• Serve as an alternative in-office resource addressing HCP questions about patient access
• Call directly on HCP offices within the assigned geography
• Answer questions about patient access and reimbursement for Duopa, Vyalev, and Juvmo
• Provide expertise on coverage and common access and reimbursement challenges affecting specialty medicines
• Educate HCPs on patient support programs and access and reimbursement tools
• Educate on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution
• Provide resources to address access issues
• Explain national and regional payer policies, payer issues, coding changes, and claims submission processes
• Liaise with AbbVie’s Access and Reimbursement support center regarding prescription status and program eligibility
• Report payer trends for approved products to Patient Services and MHC account management teams
• Establish and maintain relationships with providers within the territory
• Remain current on managed care, reimbursement, and policy activities

Requirements:

• At least 3 years of experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement
• 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
• Understanding of coding and billing requirements at national and regional levels across all settings of care
• Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
• Excellent territory and account management skills
• Bachelor’s degree
• Valid driver’s license
• Ability to pass a pre-employment drug screening test and meet safe driving requirements
• Ability to satisfy applicable HCIR credentialing requirements, including potential background checks, drug screens, immunization/vaccination proof, fingerprinting, and specific licenses
• Ability to live within a reasonable distance from the primary city in Colorado
• Willingness to travel 75% of the time

Benefits:

• Paid time off (vacation, holidays, sick)
• Medical, dental, and vision insurance
• 401(k)
• Long-term incentive programs
• Company car or truck may be used for work
• Comprehensive benefits package