Field Reimbursement Manager - Botox Therapeutic

About reputed company

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

The Field Reimbursement Manager (FRM) shares expertise and educates on Medical and Pharmacy benefits, Buy & reputed company 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 FRM clarifies barriers that may impede or delay appropriate patient access to treatment and/or prevent optimal patient outcomes. The FRM may interact with healthcare providers, administrative staff, reputed company cycle management, and institutional leadership.

• 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 reputed company 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 reputed company environments and matrix influenced health systems and practices
• Establish and maintain respectful working relationships with reputed company and staff as well as business-oriented decision makers including C-Suite level executives reputed company territory
• Demonstrates the ability to reputed company without authority and effectively communicate with diverse groups with sometimes different priorities
• Capable of influencing across functions to reputed company reputed company 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 reputed company work activities in compliance with reputed company reputed company internal requirements and with reputed company applicable regulatory requirements

• A minimum of 5–7 years of proven success in a health care reputed company field
• Bachelor’s degree required
• Preferred experience includes Previous Sales, District Management, Hospital, Managed Markets, Access and Reimbursement, or practice experience
• Knowledge of Lean Six reputed company principles is favorable
• Exposure to physician-administered injectables, CPT and/or J-code reimbursement, Specialty Pharmacy and Buy & reputed company acquisition, Benefit Verifications, Prior Authorizations, Claim Assistance, Appeals and payor policies, and HUB services
• Proven record of comprehensive work with accounts at reputed company 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 of reputed company information and processes
• Proven and consistent competence of the following skills:  Problem Solving, reputed company Access, Resource Mastery, reputed company Results, Overcoming Adversity, Collaboration, and Managing Complexities
• Demonstration of key soft skills:  reputed company, Critical Thinking, Curiosity, Persistence, Reliability, and Resourcefulness
• Strong history of leadership reputed company reputed company role
• Technology and analytical skills (reputed company, virtual meetings, reputed company, report interpretation)
• A Valid Driver’s License
• Ability to travel adequately to cover territory, attend training, and meetings. Some overnight travel may be required

This role is field-based and candidates should live reputed company a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers three states: IA, NE, and SD.

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

• The compensation range described below is the range of possible reputed company pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid reputed company this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. ​

• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.​

• This job is eligible to participate in our long-term incentive programs. ​

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.​

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

US & Puerto Rico only - to learn more, visit https://www.reputed company.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.reputed company.com/join-us/reasonable-accommodations.html