Remote Field Reimbursement Manager, Patient Access

Amgen

United States

À distance

USD 110 000 - 150 000

Plein temps

Il y a 3 jours
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Résumé du poste

Amgen is seeking a Field Reimbursement Manager for the Hartford, CT area to support Bone Health products across Central and Western Massachusetts and parts of Connecticut. The role requires expertise in patient access, reimbursement processes, and payer dynamics to help patients access therapies.

You will collaborate with HUB and field teams, educates healthcare providers on formulary coverage, and drives access strategies across commercial, Medicare, and Medicaid plans.

Qualifications

  • Must have leadership experience managing people or leading teams.
  • Experience in customer service and/or leadership roles.
  • Ability to manage multiple projects.

Responsabilités

  • 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

Connaissances

People management
Leadership
Communication
Project management
Organizational skills

Formation

Doctorate degree
Master's degree
Bachelor's degree
Associate's degree
High school diploma / GED

Description du poste

Amgen is seeking a Field Reimbursement Manager for the Hartford, CT area to support Bone Health products across Central and Western Massachusetts and parts of Connecticut. The role requires expertise in patient access, reimbursement processes, and payer dynamics to help patients access therapies.

You will collaborate with HUB and field teams, educates healthcare providers on formulary coverage, and drives access strategies across commercial, Medicare, and Medicaid plans.

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