
Field Reimbursement Manager – Oral Migraine
Posted Oct 15

Posted Oct 15
This is a fully remote position, open to applicants in Pennsylvania.
• Act as an alternative in-office resource to address healthcare provider inquiries related to patient access.
• Directly engage with HCP offices within a designated geographic area.
• Offer expertise on coverage and common access and reimbursement issues impacting AbbVie Neuroscience products.
• Inform HCPs about patient support programs, access and reimbursement tools, and available services.
• Provide education on product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution channels.
• Share information on resources available to tackle access challenges.
• Deliver local insights on national and regional payer policies, coding modifications, and claims submission procedures.
• Collaborate with AbbVie’s Access and Reimbursement support center concerning prescription status and program eligibility.
• Relay payer trends for approved products to Patient Services and MHC account management teams.
• Build and sustain relationships with providers within the designated territory.
• Stay updated on managed care, reimbursement, and policy developments.
• Minimum of 3 years of experience in Neuroscience, particularly in Managed Health Care, Payer Account Management, or Access and Reimbursement.
• Deep understanding of technical payer policy processes, systems, and requirements for coverage, coding, and payment concerning specialty medicine.
• Familiarity with the rules, regulations, and risks linked to reimbursement support services.
• Capability to convey technical coding and billing requirements at both national and regional levels across various care settings.
• Comprehensive knowledge of Medicare Parts A, B, C, and D and their associated reimbursement dynamics.
• Insight into drug acquisition and dispensing in Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging practices.
• Understanding of access and reimbursement support service centers and compliant interaction methodologies.
• Strong territory and account management skills.
• Bachelor's degree required.
• Possession of a valid driver's license.
• Must meet the applicable HCIR credentialing requirements and be in good standing or eligible to obtain them.
• Willingness to travel 50% of the time.
• Paid time off, which includes vacation, holidays, and sick leave.
• Medical, dental, and vision insurance coverage.
• 401(k) retirement plan.
• Participation in long-term incentive programs.
Novartis
Sword Health
Ameresco
Sword Health
Get handpicked remote jobs straight to your inbox weekly.