Field Reimbursement Manager – Oral Migraine

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Serve as an alternative in-office resource to address healthcare provider (HCP) inquiries regarding patient access.

• Directly engage with HCP offices located within the designated geographic area.

• Provide education to HCPs about patient support initiatives, access and reimbursement tools, and related services.

• Inform on product-specific acquisition and access opportunities, including specialty pharmacy networks and specialty distribution channels.

• Offer insights into resources designed to tackle access challenges.

• Deliver local expertise regarding national and regional payer policies, coding modifications, and claims submission protocols.

• Coordinate with AbbVie’s Access and Reimbursement support center concerning prescription statuses and program eligibility.

• Report payer trends for approved products to the Patient Services and MHC account management teams.

• Develop and sustain relationships with providers within the assigned territory.

• Remain updated on managed care, reimbursement, and policy developments.

⛳️ Requirements

• Minimum of 3 years of experience in Neuroscience, with a background in Managed Health Care, Payer Account Management, and/or Access and Reimbursement.

• Comprehensive understanding of technical payer policy processes, systems, and requirements related to specialty medicine coverage, coding, and payment.

• Familiarity with the rules, regulations, and risks associated with reimbursement support services.

• Capability to articulate technical coding and billing requirements at both national and regional levels across various care settings.

• Knowledge of Medicare Parts A, B, C, and D, along with the dynamics of reimbursement.

• Insight into drug acquisition and dispensing in Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging practices.

• Awareness of access and reimbursement support service centers and compliant interaction methodologies.

• Proficient in territory and account management skills.

• Bachelor’s degree required.

• Possession of a valid driver's license.

• Must meet applicable HCIR credentialing requirements and maintain good standing, or be eligible to obtain such credentials.

🏝️ Benefits

• Paid time off including vacation, holidays, and sick leave.

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Eligibility for long-term incentive programs.

• Option for remote work.

• Support and resources for HCIR credentialing.