Remote Field Reimbursement Lead – Life Sciences

Amgen; Thousand Oaks (CA); Hybrid; USD 145,000 - 197,000; Full time

Job summary

Amgen is seeking a Field Reimbursement Manager to support Patient Access and Reimbursement across defined accounts in the North OC, CA area. You will execute territory strategies, educate providers, and resolve patient reimbursement issues to ensure access to Amgen therapies.

The role requires deep knowledge of PHI, payer processes, and collaboration across HUB and field teams. Travel up to 40% is expected; remote work options and two days/week in geography are described in the posting.

Qualifications

• Doctorate degree OR Master9s degree and 3 years of customer service and/or leadership experience.
• Bachelor9s degree and 5 years of customer service and/or leadership experience.
• Associate9s 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.

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

Customer service

Leadership

Communication skills

Project management

Team management

Education

Doctorate or Master9s degree

Tools

Word

Excel

PowerPoint

Job description

Amgen is seeking a Field Reimbursement Manager to support Patient Access and Reimbursement across defined accounts in the North OC, CA area. You will execute territory strategies, educate providers, and resolve patient reimbursement issues to ensure access to Amgen therapies.

The role requires deep knowledge of PHI, payer processes, and collaboration across HUB and field teams. Travel up to 40% is expected; remote work options and two days/week in geography are described in the posting.