Field Reimbursement Manager - Pittsburgh, PA
for section headings. Use - for any list of duties/requirements/benefits. Use
for prose.
We must not repeat job title as heading. The job title is "Field Reimbursement Manager Pittsburgh, PA". Not to be used as heading.
We must not include Job ID/requisition numbers.
We must remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to strip out the long EEO statements, the "Applynowfora career..." etc. Also remove the "In any materials you submit..." etc. Also remove the "Application Deadline..." etc. Also remove the repeated EEO lines.
We need to preserve all substantive information: territory, role supporting Bone Health business unit, relocation not included, mission description, responsibilities list, working conditions, basic qualifications, minimum job qualifications, preferred qualifications, benefits, pay, schedule.
We need to format as HTML fragment.
Let's extract content.
First, territory and role description:
"Territory Covers Pittsburgh, North & South PA; Erie, PA, Williamsport, PA, Wilkes-Barre, PA Morgantown, WV; Charleston, WV This role will be supporting the Bone Health business unit. Relocation not included for this role."
Then mission paragraph: "Join Amgens Mission of Serving Patients At Amgen, if you feel like youre part of something bigger, its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do. Since 1980, weve helped pioneer the world of biotech in our fight against the worlds toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach millions of patients each year. Amgen is advancing a broad and deep pipeline of medicines to treat cancer, heart disease, inflammatory conditions, rare diseases, and obesity and obesity-related conditions. As a member of the Amgen team, youll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, youll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career."
That's about the role/mission.
Now responsibilities: after "What you will do Lets do this. Lets change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. This role involves supporting products by executing the collaborative territory strategic plan. The FRM will ensure an understanding of the reimbursement process, field reimbursement services, and patient support programs. They will also 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 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"
We can turn each sentence into bullet list items.
Now Working Conditions: "Working Conditions 2 days a week in geography for customer appointments, (geography specific) General office demands Remote, Work from Home. One to two home office days per week. Must be able to travel up to 40% 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."
We can put that in Schedule section maybe.
Now Basic Qualifications: list of education/experience combos.
"Basic Qualifications Doctorate degree OR Masters degree and 3 years of customer service and/or leadership experience OR Bachelors degree and 5 years of customer service and/or leadership experience OR Associates degree and 10 years of customer service and/or leadership experience OR High school diploma / GED and 12 years of customer service and/or leadership experience In addition to meeting at least one of the above requirements, you must have experience directly managing people and/or leadership experience leading teams, projects, programs, or directing the allocation or resources. Your managerial experience may run concurrently with the required technical experience referenced above"
We can put that as Requirements section.
Minimum Job Qualifications: list bullet.
"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 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"
We could treat that as Requirements or Qualifications. The instructions: Use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide where each piece goes.
Probably:
- About the role: mission description and territory/role overview.
- Responsibilities: bullet list of duties.
- Requirements: basic qualifications (education/experience) plus maybe minimum qualifications? Could separate Requirements (basic) and Qualifications (preferred). But we have both Basic Qualifications and Preferred Qualifications. Also Minimum Job Qualifications (which seems like required experience). Could combine Requirements (basic + minimum) and Qualifications (preferred). Skills maybe separate.
But we need to avoid thin sections. Let's think: we could have:
About the role (mission + territory)
Responsibilities (duties)
Requirements (basic qualifications + minimum job qualifications) maybe as a combined list.
Qualifications (preferred qualifications)
Skills (maybe we can extract skills from responsibilities? But we already have skills listed in qualifications; maybe we can omit Skills section if not distinct.
Benefits (benefits description)
Pay (salary range)
Schedule (working conditions, travel, remote/hybrid)
We must not create sections with filler. Ensure each has real content.
Now we need to strip out duplicated lines: there are duplicates of some skill lists in Preferred Qualifications that repeat earlier lines. We'll keep unique content.
Now produce HTML.
We'll need to escape any special characters? Not needed.
Let's craft.
First, About the role: combine territory and mission.
Paragraph: "Territory covers Pittsburgh, North & South PA; Erie, PA; Williamsport, PA; Wilkes-Barre, PA; Morgantown, WV; Charleston, WV. This role supports the Bone Health business unit. Relocation is not included for this position."
Then mission paragraph: maybe combine into one
with both.
Now Responsibilities:
- each duty.
We need to split the long responsibilities into sensible bullet points.
Let's list:
- 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, 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.
Now Requirements: combine basic qualifications and minimum job qualifications.
Basic qualifications list as bullet points? Could be a paragraph but better as list.
Basic Qualifications:
- Doctorate degree; OR
- Master's degree and 3 years of customer service and/or leadership experience; OR
- Bachelor's degree and 5 years of customer service and/or leadership experience; OR
- Associate's
for prose. We must not repeat job title as heading. The job title is "Field Reimbursement Manager Pittsburgh, PA". Not to be used as heading. We must not include Job ID/requisition numbers. We must remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to strip out the long EEO statements, the "Applynowfora career..." etc. Also remove the "In any materials you submit..." etc. Also remove the "Application Deadline..." etc. Also remove the repeated EEO lines. We need to preserve all substantive information: territory, role supporting Bone Health business unit, relocation not included, mission description, responsibilities list, working conditions, basic qualifications, minimum job qualifications, preferred qualifications, benefits, pay, schedule. We need to format as HTML fragment. Let's extract content. First, territory and role description: "Territory Covers Pittsburgh, North & South PA; Erie, PA, Williamsport, PA, Wilkes-Barre, PA Morgantown, WV; Charleston, WV This role will be supporting the Bone Health business unit. Relocation not included for this role." Then mission paragraph: "Join Amgens Mission of Serving Patients At Amgen, if you feel like youre part of something bigger, its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do. Since 1980, weve helped pioneer the world of biotech in our fight against the worlds toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach millions of patients each year. Amgen is advancing a broad and deep pipeline of medicines to treat cancer, heart disease, inflammatory conditions, rare diseases, and obesity and obesity-related conditions. As a member of the Amgen team, youll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, youll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career." That's about the role/mission. Now responsibilities: after "What you will do Lets do this. Lets change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. This role involves supporting products by executing the collaborative territory strategic plan. The FRM will ensure an understanding of the reimbursement process, field reimbursement services, and patient support programs. They will also 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 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" We can turn each sentence into bullet list items. Now Working Conditions: "Working Conditions 2 days a week in geography for customer appointments, (geography specific) General office demands Remote, Work from Home. One to two home office days per week. Must be able to travel up to 40% 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." We can put that in Schedule section maybe. Now Basic Qualifications: list of education/experience combos. "Basic Qualifications Doctorate degree OR Masters degree and 3 years of customer service and/or leadership experience OR Bachelors degree and 5 years of customer service and/or leadership experience OR Associates degree and 10 years of customer service and/or leadership experience OR High school diploma / GED and 12 years of customer service and/or leadership experience In addition to meeting at least one of the above requirements, you must have experience directly managing people and/or leadership experience leading teams, projects, programs, or directing the allocation or resources. Your managerial experience may run concurrently with the required technical experience referenced above" We can put that as Requirements section. Minimum Job Qualifications: list bullet. "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 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" We could treat that as Requirements or Qualifications. The instructions: Use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide where each piece goes. Probably: - About the role: mission description and territory/role overview. - Responsibilities: bullet list of duties. - Requirements: basic qualifications (education/experience) plus maybe minimum qualifications? Could separate Requirements (basic) and Qualifications (preferred). But we have both Basic Qualifications and Preferred Qualifications. Also Minimum Job Qualifications (which seems like required experience). Could combine Requirements (basic + minimum) and Qualifications (preferred). Skills maybe separate. But we need to avoid thin sections. Let's think: we could have: About the role (mission + territory) Responsibilities (duties) Requirements (basic qualifications + minimum job qualifications) maybe as a combined list. Qualifications (preferred qualifications) Skills (maybe we can extract skills from responsibilities? But we already have skills listed in qualifications; maybe we can omit Skills section if not distinct. Benefits (benefits description) Pay (salary range) Schedule (working conditions, travel, remote/hybrid) We must not create sections with filler. Ensure each has real content. Now we need to strip out duplicated lines: there are duplicates of some skill lists in Preferred Qualifications that repeat earlier lines. We'll keep unique content. Now produce HTML. We'll need to escape any special characters? Not needed. Let's craft. First, About the role: combine territory and mission. Paragraph: "Territory covers Pittsburgh, North & South PA; Erie, PA; Williamsport, PA; Wilkes-Barre, PA; Morgantown, WV; Charleston, WV. This role supports the Bone Health business unit. Relocation is not included for this position." Then mission paragraph: maybe combine into one
with both. Now Responsibilities:
- each duty. We need to split the long responsibilities into sensible bullet points. Let's list: - 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, 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. Now Requirements: combine basic qualifications and minimum job qualifications. Basic qualifications list as bullet points? Could be a paragraph but better as list. Basic Qualifications: - Doctorate degree; OR - Master's degree and 3 years of customer service and/or leadership experience; OR - Bachelor's degree and 5 years of customer service and/or leadership experience; OR - Associate's