Field Reimbursement Manager – Botox Therapeutic

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, savings programs, and denial/appeal processes for approved BOTOX Therapeutics indications .

Posted 10/26/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $139,000 - $250,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in educating healthcare providers on Medical and Pharmacy benefits, reimbursement processes, and overcoming access barriers. Proven ability to collaborate across functions and maintain relationships with healthcare professionals while ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Healthcare Provider EducationAccess And Reimbursement ExpertisePayer Policy KnowledgeSales And District Management ExperienceTechnology And Analytical Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

CPT And J-Code ReimbursementBenefit VerificationPrior AuthorizationClaim AssistanceAppeals ManagementSpecialty Pharmacy AcquisitionLean Six Sigma PrinciplesPatient TrackingBilling And CodingReconciliation Management

Soft Skills

Verbal And Written CommunicationProblem SolvingCollaborationEmpathyCritical Thinking

Tools & Technologies

SalesforceExcelVirtual Meetings

Industry Keywords

HealthcareManaged MarketsMedicareMedicaidCommercial InsuranceBuy And BillPatient Savings ProgramsHUB ServicesField Input TeamsAccess Barriers

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, 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

What you’ll need

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

Comp & perks

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