Field Reimbursement Manager - Botox Therapeutic

Job Description

Job Description

Company Description

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok.

Job Description

The Reimbursement Business Advisor (RBA) shares expertise and educates on Medical and Pharmacy benefits, Buy & Bill and Specialty Pharmacy acquisition, payor policy, appropriate patient identification, clinical documentation, benefit investigation results, prior authorizations, billing, coding, patient tracking, claim submission, reconciliation management, patient financial savings programs, patient tracking / retreatment, and the denial / appeal process for the approved indications for BOTOX® Therapeutics. The RBA clarifies barriers that may impede or delay appropriate patient access to treatment and / or prevent optimal patient outcomes. The RBA may interact with healthcare providers, administrative staff, revenue cycle management, and institutional leadership.

After the patient has been identified by an ABS provider, the RBA offers approved tools and standardization methods to provide reimbursement and technical knowledge to gain patient access while reducing access challenges.

• Educate on the fundamentals of the BOTOX treatment process, appropriate  reimbursement, and understanding the payer landscape
• Leverages advance problem-solving and analytical skills to identify access and reimbursement barriers while offering actionable insights to desired and approved care
• Uncover the root cause to access issues impeding or delaying proper treatment
• Monitor and provide updates on both Region and National Payers. Examples include changes or barriers in medical policy, Prior Authorization requirements, or product acquisition. Apply compliant methods to exchange critical information
• Work collaboratively and function as a liaison for information between various internal stakeholders such as : Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy groups.
• Provide customer feedback relating to approval requirements and access to care barriers with AbbVie stakeholders (Market Access, Center of Excellence, Sales, Marketing, Trade, Specialty Pharmacy, Senior Leadership)
• Educate accounts on need-based tools to support patient access.  Examples include HUB services, patient savings programs, payer coverage details, and acquisition pull-through initiatives
• Proficient in providing analytical and customized need-based solutions to problems in complex environments and matrix influenced health systems and practices
• Establish and maintain respectful working relationships with healthcare professionals and staff as well as business-oriented decision makers including C-Suite level executives within territory
• Demonstrates the ability to lead without authority and effectively communicate with diverse groups with sometimes different priorities
• Capable of influencing across functions to gain consensus on agreed upon patient solutions
• Ability to professionally deliver crucial conversations that may contain less than desirable information or facts
• Proactively engage in Field Input Teams offering innovative solutions to problems in a fast-paced changing environment
• Share customer challenges and suggest potential solutions to address obstacles
• Demonstrate effective planning, prioritization, follow up, and anticipates problems
• The employee conducts all work activities in compliance with all AbbVie internal requirements and with all applicable regulatory requirements

Qualifications

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law :  ​

Note : No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community.  Equal Opportunity Employer / Veterans / Disabled.

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