
Field Reimbursement Manager – Parkinson’s
Posted 5 days ago

Posted 5 days ago
This is a fully remote position, open to applicants in Nebraska.
• Act as an alternative in-office resource for healthcare provider inquiries regarding patient access.
• Directly contact healthcare provider offices within a designated geographical area.
• Assist with access and reimbursement for Duopa, Vyalev, and Juvmo.
• Provide education to healthcare providers on patient support programs, access tools, and reimbursement services.
• Inform on product-specific acquisition and access methods, including specialty pharmacy networks and specialty distribution.
• Offer resources to resolve access challenges.
• Clarify national and regional payer policies, payer-related issues, coding updates, and claims submission procedures.
• Collaborate with AbbVie’s Access and Reimbursement support center to check prescription status and program eligibility.
• Report payer trends for approved products to Patient Services and MHC account management teams.
• Build and sustain relationships with providers in the assigned territory.
• Stay updated on managed care, reimbursement, and policy developments.
• 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.
• Knowledge of the regulations, rules, and risks involved in reimbursement support services.
• Capability to communicate technical coding and billing requirements at both national and regional levels across various care settings.
• Familiarity with Medicare Parts A, B, C, and D and the associated reimbursement dynamics.
• Insight into drug acquisition and dispensing in Neuroscience, including specialty pharmacies, specialty distributors, and white-bagging practices.
• Knowledge of access and reimbursement support service centers and compliant interaction practices.
• Strong territory and account management abilities.
• Bachelor’s degree required.
• Valid driver’s license is necessary.
• Must meet applicable HCIR credentialing standards and be in good standing or eligible to acquire the required credentials.
• Willingness to travel 50% of the time is essential.
• Paid time off (including vacation, holidays, and sick leave).
• Medical, dental, and vision insurance coverage.
• 401(k) retirement plan.
• Long-term incentive programs.
• Option for remote work.
• Equal opportunity employer commitment.
• Support for reasonable accommodations for applicants in the US and Puerto Rico.
Tenet Healthcare
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