Remote-Ready Field Reimbursement Leader

Amgen SA

Bridgeport (CT)

Híbrido

USD 110.000 - 160.000

Jornada completa

Hace 3 días
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Descripción de la vacante

Amgen Hartford, CT is seeking a Field Reimbursement Manager to manage defined accounts across Central and Western Massachusetts and Connecticut, focusing on patient access and payer strategies. You will work with HUB teams, providers, and cross‑functional partners to resolve reimbursement issues and educate on coverage and benefits.

Travel up to 40% is required; two remote workdays per week are supported. The role supports the Bone Health portfolio and requires leadership, strong communication,

Formación

  • 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
  • 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 knowledge of 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

Responsabilidades

  • 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

Conocimientos

Strong communication skills
Proven presentation and facilitation
Organizational skills & project mgmt
Lead cross-functional meetings
Payer process & reimbursement know‑how
Willing to travel up to 40%

Educación

Doctorate degree
Master’s degree w/ 3 years CS/leadership
Bachelor’s degree w/ 5 years CS/leadership
Associate’s degree w/ 10 years CS/leadership
High school diploma / GED w/ 12 years CS/leadership

Descripción del empleo

Amgen Hartford, CT is seeking a Field Reimbursement Manager to manage defined accounts across Central and Western Massachusetts and Connecticut, focusing on patient access and payer strategies. You will work with HUB teams, providers, and cross‑functional partners to resolve reimbursement issues and educate on coverage and benefits.

Travel up to 40% is required; two remote workdays per week are supported. The role supports the Bone Health portfolio and requires leadership, strong communication,

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