Field Reimbursement Manager - New England
BioSpace · Boston, MA · 3 wk ago
Finance$145k–$197k/yrFull-time
About the role
Territory covers Boston N., MA; Boston S., MA; Worcester, MA; South Shore, MA; Manchester, NH; Hartford S., CT; Hartford N., CT; Providence, RI; Portland, ME. This role supports the Bone Health business unit. Relocation is not included. Join Amgen's mission of serving patients living with serious illnesses; since 1980 Amgen has pioneered biotech advances in oncology, inflammation, general medicine, and rare disease, reaching millions of patients each year.
Responsibilities
- Manage defined accounts within a specified geographic region for Patient Access and Reimbursement.
- Support products by executing the collaborative territory strategic plan.
- Ensure understanding of the reimbursement process, field reimbursement services, and patient support programs.
- Work on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI).
- 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 where the site has 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,