
Field Reimbursement Manager – Parkinsons
Posted 6 days ago

Posted 6 days ago
This is a fully remote position, open to applicants in Colorado.
• Act as an alternative in-office resource to address healthcare provider (HCP) inquiries regarding patient access.
• Conduct direct outreach to HCP offices within the designated geographical area.
• Respond to questions related to patient access and reimbursement for Duopa, Vyalev, and Juvmo.
• Offer expertise on coverage and prevalent access and reimbursement issues affecting specialty medications.
• Educate HCPs about patient support programs and tools for access and reimbursement.
• Provide information on product-specific acquisition and access alternatives, including specialty pharmacy networks and distribution channels.
• Deliver resources to resolve access-related challenges.
• Clarify national and regional payer policies, payer-related issues, coding modifications, and claims submission procedures.
• Collaborate with AbbVie’s Access and Reimbursement support center regarding prescription status and program eligibility.
• Report payer trends for approved products to the Patient Services and MHC account management teams.
• Build and sustain relationships with providers in the territory.
• Stay updated on managed care, reimbursement, and policy developments.
• A minimum of 3 years of experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement.
• Knowledge of the rules, regulations, and risks related to reimbursement support services.
• In-depth understanding of technical payer policies, processes, systems, and requirements for coverage, coding, and payment for specialty medicines.
• Familiarity with coding and billing requirements at national and regional levels across all care settings.
• Comprehensive knowledge of Medicare Parts A, B, C, and D, along with associated reimbursement dynamics.
• Exceptional territory and account management capabilities.
• Bachelor’s degree.
• Valid driver’s license.
• Ability to pass a pre-employment drug screening and meet safe driving criteria.
• Capacity to fulfill applicable HCIR credentialing requirements, which may include background checks, drug screens, proof of immunizations/vaccinations, fingerprinting, and specific licenses.
• Must reside within a reasonable distance from the primary city in Colorado.
• Willingness to travel 75% of the time.
• Paid time off including vacation, holidays, and sick leave.
• Comprehensive medical, dental, and vision insurance.
• 401(k) retirement plan.
• Long-term incentive programs.
• Company vehicle may be utilized for work purposes.
• Extensive benefits package.
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