Field Reimbursement Manager - Miami, FL

Amgen; Jacksonville (FL); Hybrid; USD 145,000 - 197,000; Full time

Job summary

Amgen is seeking a Field Reimbursement Manager in Miami, FL to support the Bone Health business. You will manage defined accounts in the Greater Miami area, execute the territory strategic plan, and educate healthcare providers on payer coverage and patient access programs.

The role requires travel and strong collaboration with HUB and cross‑functional teams to resolve reimbursement issues and optimize patient access.

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 with hubs and in‑depth knowledge of issues related to billing, coding, and appeals across physician types.
• Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region.

Responsibilities

• Manage defined accounts within a geographic region for patient access and reimbursement.
• Execute the collaborative territory strategic plan and educate HCPs on payer coverage.
• Support the reimbursement journey from prior authorization to denials/appeals.
• Coordinate access/reimbursement issues with HUB and cross‑functional partners.
• Educate offices on formulary coverage, benefits investigation, and claims processes.
• Travel up to 40% and work remote 2 days a week.

Skills

Strong communication

Leadership experience

Project management

Microsoft Word/Excel/PowerPoint

Healthcare knowledge

Education

Doctorate degree

Master’s degree + 3 yrs customer service/leadership

Bachelor’s degree + 5 yrs customer service/leadership

Associate’s degree + 10 yrs customer service/leadership

High school diploma / GED + 12 yrs customer service/leadership

Job description

Career Category Sales & Marketing Operations Job Description Field Reimbursement Manager - Miami, FL Territory Covers: Greater Miami area This role will be supporting the Bone Health business unit. Relocation not included for this role.

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
• 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

What you can expect from us

As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well‑being. From our competitive benefits to our collaborative culture, we’ll support your journey every step of the way. The expected annual salary range for this role in the U.S. (excluding PuertoRico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include:

• A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
• A discretionary annual bonus program, or for field sales representatives, a sales‑based incentive plan
• Stock‑based long‑term incentives
• Award‑winning time‑off plans
• Flexible work models where possible.

Sponsorship

Sponsorship for this role is not guaranteed.

Application Deadline

Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.

Equal Opportunity Employer

Amgen is an Equal Opportunity employer. We make all employment decisions without regard to race, color, religion, sex or any other characteristic protected by applicable law. We provide reasonable accommodations to applicants and employees with disabilities, consistent with legal requirements. Please contact us to request accommodation.

Salary Range

Salary Range 145,470.70USD -196,813.30 USD

About Amgen

Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology. Amgen focuses on areas of high unmet medical need and leverages its biologics manufacturing expertise to strive for solutions that improve health outcomes and dramatically improve people's lives. A biotechnology pioneer since 1980, Amgen has grown to be one of the world's leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline of medicines with breakaway potential. For more information, visit www.amgen.com and follow us on www.twitter.com/amgen