Field Reimbursement Manager - Parkinson’s

AbbVie • Minneapolis, MN

17d • $139,000 - $250,500 • Onsite

About The Position

The Parkinson’s Field Reimbursement Manager (FRM) is a field-based resource for healthcare provider (HCP) offices, answering questions about patient access and reimbursement in support of Duopa, Vyalev, and Juvmo. The FRM serves an assigned geography and provides expertise on coverage and common access and reimbursement challenges. The role educates HCPs about AbbVie access and reimbursement support tools, advises on prescription status and program eligibility, and explains payer processes and procedures. Candidates should live within a reasonable distance of Minneapolis, Minnesota, or Omaha, Nebraska.

Requirements

• At least 3 years of experience in Neuroscience, with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement.
• Thorough understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment for specialty medicines.
• Demonstrated understanding of the rules, regulations, and risks associated with providing reimbursement support services.
• Strong understanding of and ability to communicate technical coding and billing requirements nationally and regionally 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 Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging.
• Strong understanding of access and reimbursement support service centers and how to interact with them compliantly.
• Excellent territory and account management skills.
• Bachelor’s degree.
• Valid driver’s license.
• Satisfy applicable healthcare industry representative (HCIR) credentialing requirements to gain and maintain access to facilities and organizations in the assigned territory; be in good standing or eligible to obtain these credentials. Credentialing may involve background checks, drug screens, immunization or vaccination proof, fingerprinting, and licenses required by individual states or cities.

Responsibilities

• Educate HCPs on patient support programs, including access and reimbursement support tools and services.
• Educate HCPs on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution.
• Educate HCPs on resources available to address access issues.
• Provide local expertise on national and regional payer policies, including payer issues, coding changes, and appropriate claims submission processes.
• Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on prescription 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.
• Remain current on key managed care, reimbursement, and policy activities.

Benefits

• Comprehensive benefits package, including paid time off (vacation, holidays, and sick leave), medical, dental, and vision insurance, and a 401(k), for eligible employees.
• Eligible to participate in long-term incentive programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level