Field Reimbursement Manager - Miami Patient Access Lead

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

Job summary

Amgen seeks a Field Reimbursement Manager for the Greater Miami area to support Bone Health products. The role drives reimbursement strategies, educates providers, and coordinates with HUB to resolve coverage issues.

Travel up to 40% and a mix of office/home days are required. Qualifications include advanced degrees or equivalent experience in healthcare, strong reimbursement knowledge, and excellent communication and project management skills.

Qualifications

• Two years or more 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.

Responsibilities

• Act as an extension of the HUB, providing live one-on-one coverage support.
• Assist from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms.
• Review patient-specific information where sites request assistance resolving coverage challenges.
• Educate and update healthcare providers on payer coverage and changes impacting patient access.
• Coordinate access/reimbursement issues with HUB and relevant partners.
• Provide information to HCPs on product coverage under the benefit design (Commercial, Medicare, Medicaid).
• Serve as a payer expert for defined geography and communicate payer changes to 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

Communication skills

Presentation skills

Facilitation skills

Project management

Collaboration

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Education

Bachelor's degree

Master’s degree

Doctorate degree

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Amgen seeks a Field Reimbursement Manager for the Greater Miami area to support Bone Health products. The role drives reimbursement strategies, educates providers, and coordinates with HUB to resolve coverage issues.

Travel up to 40% and a mix of office/home days are required. Qualifications include advanced degrees or equivalent experience in healthcare, strong reimbursement knowledge, and excellent communication and project management skills.