Field Reimbursement Manager - Newark, NJ

Amgen; United States; Remote; USD 90,000 - 150,000; Full time

Job summary

Amgen in Newark, New Jersey is seeking a Field Reimbursement Manager to support the Respiratory business. The role involves single geography coverage, HUB collaboration, and guiding payer strategies to secure patient access. Remote work is available with travel up to 60–80%.

You will educate providers on coverage, manage prior authorizations, and coordinate with cross-functional teams. A Doctorate or Master’s with leadership experience is preferred, and strong communication and

Qualifications

• Doctorate degree required; advanced clinical or healthcare background preferred.
• Master’s degree with 3+ years of customer service/leadership experience or equivalent.
• Bachelor’s degree with 5+ years of customer service/leadership experience.
• Associate’s degree with 10+ years of customer service/leadership experience.
• High school diploma with 12+ years of customer service/leadership experience.

Responsibilities

• Act as HUB extension, providing live coverage support and payer guidance.
• Navigate reimbursement from physician order to prior authorization and appeals.
• Educate healthcare providers on private/public payer coverage and changes.
• Coordinate access issues with partners, including HUB and cross-functional teams.
• Inform offices on coverage criteria, benefits, and forms; facilitate access.
• Review patient insurance options and financial assistance programs.
• Travel up to 60–80% for geography-specific duties.

Skills

Leadership experience

Customer service

Presentation skills

Written and oral communication

Education

Doctorate degree

Master's degree

Bachelor's degree

Associate's degree

High school diploma / GED

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Career Category

Sales

Job Description

This role will be supporting the Respiratory 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. Amgen is advancing a broad and deep pipeline and portfolio of medicines to treat heart disease, obesity and obesity-related conditions, rare diseases, inflammatory conditions and cancer. 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 - Newark, New Jersey

What you will do

• 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:

• 3 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 60-80% 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

Preferred 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
• 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 manuf