Field Reimbursement Manager – Botox Therapeutic

This is a fully remote position, open to applicants in Minnesota.

📋 Description

• Educate healthcare providers and accounts regarding 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.

• Address barriers that could delay appropriate treatment or hinder optimal patient outcomes.

• Inform accounts about the BOTOX treatment process, reimbursement, payer landscape, HUB services, patient savings programs, coverage details, and acquisition initiatives.

• Identify underlying causes of access and reimbursement challenges and offer actionable, tailored solutions.

• Monitor and provide updates on regional and national payers, including medical policy, prior authorization requirements, and changes in product acquisition.

• Collaborate with Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy teams.

• Gather customer feedback regarding approval requirements and access-to-care obstacles.

• Build respectful relationships with healthcare professionals, staff, business decision-makers, and C-suite executives.

• Lead without formal authority, influence across functions, achieve consensus, and conduct critical conversations in a professional manner.

• Participate in Field Input Teams and propose innovative solutions to customer challenges.

• Plan, prioritize, follow up, anticipate issues, and comply with AbbVie and regulatory requirements.

⛳️ Requirements

• A minimum of 5–7 years of demonstrated success in a healthcare-related field.

• A Bachelor’s degree is required.

• Familiarity with Lean Six Sigma principles is advantageous.

• Experience with physician-administered injectables, CPT and/or J-code reimbursement, Specialty Pharmacy and Buy & Bill acquisition, Benefit Verifications, Prior Authorizations, Claim Assistance, Appeals, payer policies, and HUB services.

• Proven history of extensive work with accounts at all levels.

• Experience with payer/insurance coverage for Medicare, Medicare Advantage, Commercial, and Medicaid plans.

• Strong verbal and written communication skills, including in-person and virtual presentation abilities for complex information and processes.

• Proficiency in Problem Solving, Gaining Access, Resource Mastery, Achieving Tangible Results, Overcoming Adversity, Collaboration, and Managing Complexities.

• Traits such as Empathy, Critical Thinking, Curiosity, Persistence, Reliability, and Resourcefulness.

• Solid track record of leadership in the current position.

• Technology and analytical skills, including proficiency with Salesforce, virtual meetings, Excel, and report interpretation.

• A valid driver’s license is required.

• Willingness to travel as needed to cover the territory, attend training, and meetings; some overnight travel may be necessary.

• Must reside within a reasonable distance from the primary city.

• This role covers the geography of Minnesota and North Dakota.

🏝️ Benefits

• Paid time off (including vacation, holidays, and sick leave).

• Medical, dental, and vision insurance.

• 401(k) plan.

• Long-term incentive programs.

• Bonus, commission, incentive, and other compensation may be available at the Company's discretion.