Field Reimbursement Manager - Hartford, CT

VetJobs

Hartford (CT)

On-site

USD 145,000 - 197,000

Full time

44 hours ago

Be an early applicant

A complete application in a minute

Tailored resume and cover letter, ready to send.

Get past ATS filters

Job summary

Amgen Hartford is seeking a Field Reimbursement Manager to oversee defined accounts within a specified geographic region, driving access and reimbursement strategies for patient access programs. You will liaise with healthcare providers, HUB teams, and payer partners to ensure timely coverage and resolution of reimbursement issues.

The role requires experience in medical reimbursement, strong communication, and leadership skills, with travel up to 40% and on-site work in Hartford, CT.

Qualifications

Two years of experience in public or private third‑party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
Strong medical reimbursement experience and/or Specialty Pharmacy and Buy & Bill knowledge
Proven presentation and facilitation skills
Strong written and oral communication skills
Organizational skills and project management experience, including the ability to manage multiple projects
Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers
Proven experience with hubs and in-depth knowledge of issues related to billing, coding, and appeals across physician types
Strong collaboration and ability to lead cross functional partner meetings
Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region
Live in the geography or less than 10 miles from the geography border
Live in geography or within 10 miles of border
Bachelor's degree in business, healthcare, or related field
6 years' experience with specialty/biologic self-injectable or physician-administered products
Advanced knowledge of medical insurance terminology
CMS policies and processes expertise (Medicare Part B and Part D)
Ability to manage ambiguity and problem-solve
Ability to manage expenses within allocated budgets
Experience in healthcare industry including insurance verification, claim adjudication, offices or clinics, pharmacies, and manufacturers

Responsibilities

Manage defined accounts within a geographic region for Patient Access and Reimbursement
Support products by executing the territory strategic plan
Understand reimbursement processes, field reimbursement services, and patient support programs
Resolve patient-level reimbursement issues and know PHI handling
Educate healthcare providers on payer coverage and changes
Coordinate access/reimbursement issues with partners including HUB
Inform on product coverage under Commercial, Medicare, Medicaid
Act as payer expert for defined geography and communicate payer changes
Provide office education during access process (forms, prior authorization, appeals)
Educate offices using approved materials
Review patient insurance benefits and alternate funding programs
Collaborate with other departments to resolve issues

Skills

Public access experience

Medical reimbursement knowledge

Leadership experience

Project management

Presentation skills

Strong communication

Patient access knowledge

Hub knowledge

Web meetings

MS Word

MS Excel

MS PowerPoint

Education

Doctorate degree

Master’s degree

Bachelor’s degree

Associate’s degree

High school diploma / GED

Tools

Word

Excel

PowerPoint

Job description

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS

Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.

At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do.

Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four therapeutic areas –Oncology, Inflammation, General Medicine, and Rare Disease– we reach millions of patients each year. Amgen is advancing a broad and deep pipeline of medicines to treat cancer, heart disease, inflammatory conditions, rare diseases, and obesity and obesity-related conditions. As a member of the Amgen team, you’ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.

Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you’ll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.

Field Reimbursement Manager

What you will do

Let’s do this. Let’s change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. This role involves supporting products by executing the collaborative territory strategic plan. The FRM will ensure an understanding of the reimbursement process, field reimbursement services, and patient support programs. They will also work on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI).

Act as an extension of the HUB, providing live one‑on‑one coverage support
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms
Review patient‑specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges
Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes that impact patient product access
Coordinate access/reimbursement issues with relevant partners, including the HUB
Provide information to HCPs on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
Serve as a payer expert for defined geography and promptly communicate payer changes to key stakeholders
Offer office education during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
Educate offices using approved materials
Review patient insurance benefit options and alternate funding/financial assistance programs
Collaborate with other departments to resolve reimbursement issues

Working Conditions

2 days a week in geography for customer appointments, (geography specific)
General office demands – Remote, Work from Home.
One to two home office days per week.
Must be able to travel up to 40% via automobile or plane.
Must have a valid driver's license with a clean driving record.
Possible long periods of sitting and/or keyboard work.

Minimum Education Required

High School/GED

Additional Qualifications/Responsibilities

What we expect of you We are all different, yet we all use our unique contributions to serve patients. The field reimbursement professional we seek is a collaborator with these qualifications.

Basic Qualifications

Doctorate degree
OR
Master’s degree and 3 years of customer service and/or leadership experience
OR
Bachelor’s degree and 5 years of customer service and/or leadership experience
OR
Associate’s degree and 10 years of customer service and/or leadership experience
OR
High school diploma / GED and 12 years of customer service and/or leadership experience

In addition to meeting at least one of the above requirements, you must have experience directly managing people and/or leadership experience leading teams, projects, programs, or directing the allocation or resources. Your managerial experience may run concurrently with the required technical experience referenced above

Minimum Job Qualifications

Minimum two years of experience in public or private third‑party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
Strong medical reimbursement experience and/or Specialty Pharmacy and Buy & Bill knowledge
Proven presentation and facilitation skills
Strong written and oral communication skills
Organizational skills and project management experience, including the ability to manage multiple projects
Strong computer literacy, including Word, Excel, and PowerPoint, and the ability to conduct web-based meetings
Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers
Proven experience with hubs and in-depth knowledge of issues related to billing, coding, and appeals across physician types
Strong collaboration and ability to lead cross functional partner meetings
Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region
Live in the geography or less than 10 miles from the geography border

Preferred Qualifications

Bachelor's degree in business, healthcare, or a related field
6 years' experience with specialty/biologic self-injectable (pharmacy benefit) or physician-administered (buy and bill/medical benefit) products
Advanced knowledge of medical insurance terminology
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B – for buy & bill products and Part D for Pharmacy products).
Ability to manage ambiguity and problem-solve
Ability to manage expenses within allocated budgets
Strong medical reimbursement experience and/or Specialty Pharmacy and Buy & Bill knowledge
Proven presentation and facilitation skills
Strong written and oral communication skills
Organizational skills and project management experience, including the ability to manage multiple projects
Strong computer literacy, including Word, Excel, and PowerPoint, and the ability to conduct web-based meetings
Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers