Field Reimbursement Manager - Parkinson’s

AbbVie Inc.; Oklahoma City (OK); On-site; USD 90,000 - 120,000; Full time

Job summary

AbbVie Inc. is seeking a Parkinson’s Field Reimbursement Manager to serve as a field-based resource addressing HCP questions about patient access and reimbursement for Duopa, Vylande and Juvmo.

The FRM will educate providers on AbbVie access tools, payer policies, and program eligibility while coordinating with the access center to update Rx status and payer trends. Responsibilities include educating on patient support programs, acquisition options, and resources to address access issues;

Qualifications

• 3+ years in Managed Health Care, Payer Account Management or Access & Reimbursement.
• Solid understanding of payer policy processes and coverage requirements.
• Experience with Medicare Parts A, B, C and D and reimbursement dynamics.
• Ability to communicate coding and billing requirements at National/Regional levels.

Responsibilities

• Educate HCPs on patient access programs and reimbursement tools.
• Educate on product acquisition options like specialty networks and distribution.
• Advise providers on payer processes and program eligibility.
• Liaise with AbbVie Access and Reimbursement center on Rx status and eligibility.
• Report payer trends to Patient Services and MHC account teams.
• Establish and maintain relationships with providers in the territory.
• Stay current on managed care, reimbursement, and policy activities.

Skills

Managed Health Care

Payer Account Management

Access and Reimbursement

Payer Policy Knowledge

Coding & Billing

HCIR Credentialing

Education

Bachelor’s degree

Job description

Company 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 cities:

• Dallas, Texas
• Houston, Texas
• Oklahoma City, Oklahoma

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 directlyonHCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support ofDuopa,VyalevandJuvmo. The FRM providesexpertiseon coverage and common access and reimbursement challenges affectingDuopa,VyalevandJuvmo. The FRM responsibilities includeeducating onthe access and reimbursement support tools available from AbbVie,advisingHCPs 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 localexpertiseregardingnational/regional payor policies to educate providers on payer issues, coding changes, andappropriate claimssubmission 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 andmaintainrelationships withappropriate providerswithin territory
• Remain current on key managed care, reimbursement, and policy activities

Qualifications

• At least 3 years of experiencein 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 requirementofyour position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain andmaintainentry 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 forfailing to doso. AbbVie has resources to answer questions you may haveregardingyour 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 orlocal law:

• The compensation range described below is the range of possible base pay compensation that the Companybelieves ingood faith it will pay for this role at the timeof this posting based on the job grade for this position.Individualcompensation paid within this range will depend on many factors including geographic location, andwemayultimatelypaymore or less than the posted range. This range may bemodifiedin thefuture.
• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick),medical/dental/visioninsurance and 401(k) to eligibleemployees.
• This job is eligible toparticipatein our long-term incentiveprograms.

Note: No amount of payis considered to bewages or compensation until such amount is earned, vested, anddeterminable.The amount and availability of any bonus,commission, incentive, benefits, or any other form ofcompensation and benefitsthat are allocable to a particular employeeremainsin the Company's sole andabsolutediscretion unless and until paid andmay bemodifiedat the Company’s sole and absolute discretion, consistent withapplicable 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