Field Reimbursement Manager – Parkinson's

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

📋 Description

• Serve as an alternative in-office resource for addressing inquiries from healthcare providers regarding patient access.

• Conduct direct outreach to healthcare provider offices within the designated geographic area.

• Assist with access and reimbursement for Duopa, Vyalev, and Juvmo.

• Inform healthcare providers about patient support programs as well as access and reimbursement tools.

• Clarify product-specific acquisition and access options, including specialty pharmacy networks and specialty distribution.

• Provide education on resources available for resolving access challenges.

• Offer local expertise on national and regional payer policies, payer challenges, coding updates, and claims submission processes.

• Collaborate with AbbVie’s Access and Reimbursement support center to track prescription status and program eligibility.

• Report trends related to payers for approved products to Patient Services and MHC account management teams.

• Build and sustain relationships with relevant providers within the territory.

• Stay informed on managed care, reimbursement, and policy developments.

⛳️ Requirements

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

• Proven knowledge of the rules, regulations, and risks linked to reimbursement support services.

• In-depth understanding of technical payer policy processes, systems, and requirements for specialty medicine coverage, coding, and payment.

• Strong comprehension of coding and billing requirements at both national and regional levels across all care settings.

• Extensive knowledge of Medicare Parts A, B, C, and D and their related reimbursement dynamics.

• Excellent skills in territory and account management.

• Bachelor’s degree required.

• Capability to operate a personal vehicle, company car or truck, or powered material-handling equipment.

• Valid driver’s license is necessary.

• Must be able to pass a pre-employment drug screening and meet safe driving criteria.

• Ability to fulfill relevant HCIR credentialing requirements, which may include background checks, drug screens, proof of immunization/vaccination, fingerprinting, and state or city-specific licenses.

• Must reside within a reasonable distance from the primary city; eligible locations include Dallas, Texas, or Oklahoma City, Oklahoma.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Opportunity to participate in long-term incentive programs.

• Access to company resources related to HCIR credentialing responsibilities.

• Equal opportunity employer; welcomes applications from veterans and individuals with disabilities.