Field Reimbursement Manager- Orlando, FL

About the role

The Field Reimbursement Manager (FRM) role involves supporting products by executing the collaborative territory strategic plan. Key responsibilities include ensuring an understanding of the reimbursement process, field reimbursement services, and patient support programs. The FRM will also work on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI).

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.
• 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.
• Review patient insurance benefit options and alternate funding/financial assistance programs.
• Collaborate with other departments to resolve reimbursement issues.

Requirements

• Basic Qualifications: Doctorate degree OR Masters degree and 3 years of patient services, and/or access and reimbursement, experience in the pharma space. OR Bachelors degree and 5 years of patient services, and/or access and reimbursement, experience in the pharma space. OR Associates degree and 10 years of patient services, and/or access and reimbursement, experience in the pharma space. OR High school diploma / GED and 12 years of patient services, and/or access and reimbursement, experience in the pharma space.
• Minimum Job Qualifications: Minimum 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.

Skills

• 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.

Benefits

Amgen offers a total rewards plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan. Stock-based long-term incentives. Award-winning time-off plans and bi-annual company-wide shutdowns. Flexible work models, including remote work arrangements, where possible.

Pay

The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications.

Schedule

Working 3 days a week in the geography for customer appointments, with general office demands and the possibility of remote work from home. Must be able to travel up to 60-80% via automobile or plane. Must have a valid driver's license with a clean driving record. Possible long periods of sitting and/or keyboard work.