Field Reimbursement Manager — Remote Access Leader

Amgen; Columbus (OH); Hybrid; USD 145,000 - 197,000; Full time

Job summary

Amgen is seeking a Field Reimbursement Manager in Cleveland, OH, covering Cleveland, Akron, Toledo OH and Fort Wayne, IN. You will manage payer access, educate providers, and resolve reimbursement challenges across private and public payers while collaborating with HUB partners.

The role requires strong clinical reimbursement knowledge, leadership experience, and the ability to travel up to 40%. Amgen offers a comprehensive benefits package and a flexible work model where possible.

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

Responsibilities

• Manage defined accounts within a geographic region for Patient Access and Reimbursement
• Execute the collaborative territory strategic plan to support products
• Understand the reimbursement process, field reimbursement services, and patient support programs
• Resolve patient-level reimbursement issues with PHI knowledge
• Act as HUB extension providing live coverage support
• Assist from physician order to reimbursement through payer requirements and forms
• Review patient information for site-requested coverage assistance
• Educate HCPs on payer coverage and changes affecting access
• Coordinate access/reimbursement issues with partners, including the HUB
• Explain product coverage under benefit design (Commercial, Medicare, Medicaid)
• Serve as payer expert for the geography and communicate payer changes
• Offer office education during access process including forms, PA, appeals
• Educate offices with approved materials
• Review patient insurance options and alternate funding/financial assistance
• Collaborate with departments to resolve reimbursement issues

Skills

Public/private third-party access

Medical reimbursement experience

Specialty Pharmacy knowledge

Buy & Bill knowledge

Communication skills

Team leadership

Education

Doctorate degree or Master’s degree with 3 years’ experience

Bachelor’s degree with 5 years’ experience

Associate’s degree with 10 years’ experience

High school diploma / GED with 12 years’ experience

Tools

Word

Excel

PowerPoint

Web-based meetings

Job description

Amgen is seeking a Field Reimbursement Manager in Cleveland, OH, covering Cleveland, Akron, Toledo OH and Fort Wayne, IN. You will manage payer access, educate providers, and resolve reimbursement challenges across private and public payers while collaborating with HUB partners.

The role requires strong clinical reimbursement knowledge, leadership experience, and the ability to travel up to 40%. Amgen offers a comprehensive benefits package and a flexible work model where possible.