Remote Field Reimbursement Manager – Patient Access Expert

Amgen SA; Seattle (WA); On-site; USD 145,000 - 197,000; Full time

Benefits offered by this job

Total Rewards Plan

Remote and hybrid work arrangements

Stock-based long-term incentives

Flexible time-off

Job summary

Amgen in Seattle seeks a Field Reimbursement Manager to manage defined accounts within a geographic region for Patient Access and Reimbursement. You will execute the regional reimbursement strategy, understand payer processes, and resolve patient-level issues with PHI in mind.

The role requires strong leadership, communication, and healthcare industry experience, plus willingness to travel up to 40% and work in a hybrid/remote setup where possible.

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 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

• 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

Communication skills

Leadership experience

Project management

Medical reimbursement knowledge

Healthcare industry experience

HUB knowledge

Presentations

Written communication

Computer literacy (Word, Excel, PowerP

Travel willingness

Education

Doctorate degree

Master’s degree and 3 years experience

Bachelor’s degree and 5 years experience

Associate’s degree and 10 years experience

High school diploma / GED and 12 years experience

Tools

Microsoft Word

Excel

PowerPoint

Job description

Amgen in Seattle seeks a Field Reimbursement Manager to manage defined accounts within a geographic region for Patient Access and Reimbursement. You will execute the regional reimbursement strategy, understand payer processes, and resolve patient-level issues with PHI in mind.

The role requires strong leadership, communication, and healthcare industry experience, plus willingness to travel up to 40% and work in a hybrid/remote setup where possible.