Field Reimbursement Manager – Botox Therapeutic

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $109.5k - $208.5k / 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 staff on Medical and Pharmacy benefits, Buy & Bill and Specialty Pharmacy acquisition, payer policy, patient identification, clinical documentation, benefit investigations, prior authorizations, billing, coding, patient tracking, claims, reconciliation, savings programs, retreatment, and denial/appeal processes for approved BOTOX Therapeutics indications • Clarify barriers that delay or prevent appropriate patient access and optimal outcomes • Interact with healthcare providers, administrative staff, revenue cycle management, and institutional leadership • 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 issues and provide analytical, customized, actionable solutions • Monitor and update stakeholders on regional and national payer changes and barriers • Exchange critical information using compliant methods • Liaise among Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy teams • Provide customer feedback on approval requirements and access barriers • Establish and maintain relationships with healthcare professionals, staff, and C-suite decision makers • Lead without authority, influence across functions, facilitate consensus, and conduct crucial conversations • Participate in Field Input Teams and propose solutions to customer challenges • Plan, prioritize, follow up, anticipate problems, and comply with AbbVie and 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 settings • Knowledge of Lean Six Sigma principles 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 • Experience working with accounts at all levels • Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial, and Medicaid plans • Strong verbal and written communication, including in-person and virtual presentation skills • Competence in problem solving, gaining access, resource mastery, tangible results, overcoming adversity, collaboration, and managing complexities • Empathy, critical thinking, curiosity, persistence, reliability, and resourcefulness • Strong leadership history • Technology and analytical skills, including Salesforce, virtual meetings, Excel, and report interpretation • Ability to drive a personal auto, company car or truck, or powered material-handling equipment • Valid driver’s license • Ability to pass a pre-employment drug screening test and meet safe driving requirements • 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 • Remote work option • Travel and training opportunities