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Field Reimbursement Manager, Botox
AbbVie. 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, patient financial savings programs, retreatment, and denial/appeal processes for approved BOTOX Therapeutics indications .
Core Competencies
Role fitUse this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare provider education, reimbursement processes, and patient access solutions, with a strong focus on collaboration and communication across diverse stakeholders. Proven ability to analyze and resolve access barriers while ensuring compliance with regulations.
ATS Keywords
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About the role
Key responsibilities & impact- 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, patient financial savings programs, retreatment, and denial/appeal processes for approved BOTOX Therapeutics indications
- Clarify barriers that may impede or delay patient access to treatment or prevent optimal outcomes
- Educate accounts on the BOTOX treatment process, appropriate reimbursement, and payer landscape
- Identify access and reimbursement barriers and provide actionable insights and customized solutions
- Uncover root causes of access issues
- Monitor and update regional and national payers regarding medical policy, prior authorization requirements, and product acquisition
- Exchange critical information using compliant methods
- Collaborate with Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, Specialty Pharmacy, and senior leadership 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 across diverse groups, influence across functions, and gain consensus on patient solutions
- Deliver crucial conversations professionally
- Engage in Field Input Teams and suggest innovative solutions in a fast-paced environment
- Share customer challenges and potential solutions
- Plan, prioritize, follow up, and anticipate problems
- Conduct all work in compliance with AbbVie requirements and applicable regulations
Requirements
What you’ll need- A minimum of 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 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
- Proven 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
- Candidates should live within a reasonable distance from the primary city
- Ability to work across the two-state geography of MN and ND
Benefits
Comp & perks- Paid time off (vacation, holidays, sick)
- Medical, dental, and vision insurance
- 401(k)
- Eligibility to participate in long-term incentive programs
- Remote work option
- Equal opportunity employer committed to operating with integrity, driving innovation, transforming lives, and serving the community