Field Reimbursement Manager – Botox Therapeutic

🕒 Yesterday

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $139k - $250.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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, savings programs, retreatment, and denial/appeal processes for approved BOTOX Therapeutics indications • Clarify barriers that may delay appropriate treatment or prevent optimal patient outcomes • Educate accounts on the BOTOX treatment process, reimbursement, payer landscape, HUB services, patient savings programs, coverage details, and acquisition initiatives • Identify root causes of access and reimbursement issues and provide actionable, customized solutions • Monitor and provide updates on regional and national payers, including medical policy, prior authorization requirements, and product acquisition changes • Collaborate with Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy teams • Provide customer feedback on approval requirements and access-to-care barriers • Establish respectful relationships with healthcare professionals, staff, business decision-makers, and C-suite executives • Lead without authority, influence across functions, gain consensus, and deliver crucial conversations professionally • Participate in Field Input Teams and suggest innovative solutions to customer challenges • Plan, prioritize, follow up, anticipate problems, and comply with AbbVie and regulatory requirements

🎯 Requirements

• A minimum of 5–7 years of proven success in a health care related field • Bachelor’s degree required • Knowledge of Lean Six Sigma principles is favorable • Exposure to 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 for complex information and processes • Competence in 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 • A valid driver’s license • Ability to travel adequately to cover territory, attend training, and meetings; some overnight travel may be required • Ability to live within a reasonable distance from the primary city • This geography covers Minnesota and North Dakota

🏖️ Benefits

• Paid time off (vacation, holidays, sick) • Medical, dental, and vision insurance • 401(k) • Long-term incentive programs • Bonus, commission, incentive, and other compensation may be available at the Company's discretion

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