Field Reimbursement Manager - Hartford, CT

Amgen; United States; Remote; USD 110,000 - 150,000; Full time

Job summary

Amgen is seeking a Field Reimbursement Manager for the Hartford, CT area to support Bone Health products across Central and Western Massachusetts and parts of Connecticut. The role requires expertise in patient access, reimbursement processes, and payer dynamics to help patients access therapies.

You will collaborate with HUB and field teams, educates healthcare providers on formulary coverage, and drives access strategies across commercial, Medicare, and Medicaid plans.

Qualifications

• Must have leadership experience managing people or leading teams.
• Experience in customer service and/or leadership roles.
• Ability to manage multiple projects.

Responsibilities

• 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

Skills

People management

Leadership

Communication

Project management

Organizational skills

Education

Doctorate degree

Master's degree

Bachelor's degree

Associate's degree

High school diploma / GED

Job description

Career Category

Sales & Marketing Operations

Job Description

Field Reimbursement Manager - Hartford, CT

Territory Covers: Central & Western Massachusetts, Western, Central & Southern Connecticut

This role will be supporting the Bone Health business unit.

Relocation not included for this role.

Join Amgen's Mission of Serving Patients

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.

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


• Master's degree and 3 years of customer service and/or leadership experience


• Bachelor's degree and 5 years of customer service and/or leadership experience


• Associate's degree and 10 years of customer service and/or leadership experience


• 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


• Stro