Field Reimbursement Manager – Botox Therapeutic

🕒 Yesterday

🏄 California – Remote

🏄 California – Remote

💵 $139k - $250.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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AbbVie

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2013

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

AbbVie is a global pharmaceutical company that discovers and delivers innovative medicines and solutions to enhance lives. With a focus on addressing the world's toughest health challenges, AbbVie operates in over 175 countries, providing a wide range of products across areas like immunology, oncology, neuroscience, and aesthetics. Committed to scientific innovation, AbbVie invests heavily in research and development, aiming to produce first-in-class medicines. The company also emphasizes workplace diversity, sustainability, and patient support initiatives, ensuring positive impact for both its patients and the broader community.

📋 Description

• Educate healthcare providers and accounts on Medical and Pharmacy benefits, Buy & Bill, Specialty Pharmacy acquisition, payer policy, patient identification, clinical documentation, benefit investigations, prior authorizations, billing, coding, patient tracking, claim submission, reconciliation management, savings programs, and denial/appeal processes for approved BOTOX Therapeutics indications • Clarify barriers that may impede or delay patient access to treatment and optimal outcomes • Educate on BOTOX treatment fundamentals, reimbursement, and the payer landscape • Identify access and reimbursement barriers and provide actionable insights and approved care solutions • Uncover root causes of access issues • Monitor and provide updates on regional and national payers, including medical policy, prior authorization, and product acquisition changes • Exchange critical information using compliant methods • Collaborate with Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy stakeholders • Provide customer feedback on approval requirements and access-to-care barriers • Educate accounts on HUB services, patient savings programs, payer coverage details, and acquisition pull-through initiatives • Establish and maintain relationships with healthcare professionals, staff, and business decision-makers including C-suite executives • Lead without authority, communicate with diverse groups, and influence across functions to gain consensus • Engage in Field Input Teams and suggest solutions to customer challenges • Plan, prioritize, follow up, and anticipate problems • Conduct all work in compliance with AbbVie and applicable regulatory requirements

🎯 Requirements

• 5–7 years of proven success in a health care related field • Bachelor’s degree required • Preferred experience in Sales, District Management, Hospital, Managed Markets, Access and Reimbursement, or practice • Knowledge of Lean Six Sigma principles is favorable • Experience with physician-administered injectables, CPT and/or J-code reimbursement, Specialty Pharmacy and Buy & Bill acquisition, Benefit Verifications, Prior Authorizations, Claim Assistance, Appeals, payor policies, and HUB services • Proven record of comprehensive work with accounts at all levels • Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial, and Medicaid plans • Well-developed verbal and written communication skills, including in-person and virtual presentation skills • Problem solving, gain access, resource mastery, tangible results, overcoming adversity, collaboration, and managing complexities • Empathy, critical thinking, curiosity, persistence, reliability, and resourcefulness • Strong history of leadership within current role • Technology and analytical skills, including Salesforce, virtual meetings, Excel, and report interpretation • Valid driver’s license and ability to meet safe driving requirements • Ability to pass a pre-employment drug screening test • Ability to travel adequately to cover territory, attend training, and meetings; some overnight travel may be required

🏖️ Benefits

• Paid time off (vacation, holidays, sick) • Medical, dental, and vision insurance • 401(k) • Long-term incentive programs • Company car or truck option • Comprehensive benefits package