Field Reimbursement Manager - Parkinson's

Colorado Psychiatric; Denver (CO); On-site; USD 90,000 - 130,000; Full time

Job summary

AbbVie is seeking a Field Reimbursement Manager to serve as a local expert on patient access and payer strategies. You will engage HCP offices, address reimbursement questions for Duopa, Vyalev and Juvmo, and guide providers through coverage and submission processes within your territory.

You will educate on payer policies, coordinate with the access center, and maintain strong relationships with clinicians while staying current on national and regional payer dynamics.

Qualifications

• Experience in Managed Health Care, payer relations and reimbursement services.
• Understanding of payer policy processes, coding and payment for specialty medicines.
• Ability to communicate technical billing requirements across settings.

Responsibilities

• Educate HCPs on patient support programs and reimbursement tools.
• Educate on product acquisition and access options including networks and distribution.
• Educate on resources to address access issues.
• Provide local payer policy expertise to educate providers on payer issues and coding.
• Coordinate with Access and Reimbursement support center on Rx status and eligibility.
• Report payer trends to Patient Services and MHC teams.
• Establish and maintain provider relationships within territory.
• Stay current on managed care, reimbursement, and policy activities.

Skills

Managed Health Care experience

Payer Account Management

Access and Reimbursement knowledge

Reimbursement policy understanding

Communication of coding/billing

Medicare/Medicaid understanding

Territory/account management

Driving license and HCIR credentialing

Education

Bachelor's degree

Job description

ICompany Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

This role is field-based, and candidates should live within a reasonable distance from the primary city.

Candidates may live in the following areas:

• Colorado (Denver, CO - preferred)

The Parkinson's Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP questions about patient access. The FRM calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of Duopa, Vyalev and Juvmo. The FRM provides expertise on coverage and common access and reimbursement challenges affecting Duopa, Vyalev and Juvmo. The FRM responsibilities include educating on the access and reimbursement support tools available from AbbVie, advising HCPs on 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 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
• Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
• 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: Ability to pass a pre-employment drug screening test and meet safe driving requirements.
• An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials.
• These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. You are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. AbbVie has resources to answer questions you may have regarding your responsibilities.

Talent will be hired at a level commensurate with experience.

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:

• The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
• This job is eligible to participate in our long-term incentive programs.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.abbvie.com/join-us/reasonable-accommodations.html