Field Reimbursement Manager - Seattle, WA
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. Must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate.
We need to parse the posting.
Key info:
- Territory Covers: Alaska, Washington, Oregon, Idaho, Montana. This role will be supporting the Bone Health business unit. Relocation not included for this role.
- Join Amgen's Mission of Serving Patients ... (mission statement). This is about the role? Could be "About the role" or "About Amgen". Probably "About the role" includes description of mission, etc.
- Field Reimbursement Manager Seattle, Washington (job title). Not to repeat as heading.
- "What You Will Do" section: list of duties.
- "Working Conditions": details.
- "Win What We Expect Of You": qualifications (basic qualifications, minimum job qualifications, preferred qualifications). Might be "Requirements" or "Qualifications". We need to decide sections.
- "Thrive What You Can Expect Of Us": benefits, salary, etc.
- Salary range: $145,471.00 to $196,813.00.
- Benefits: mention total rewards plan, health and welfare, financial plans, work/life balance, career development, etc. Also mention comprehensive employee benefits package, discretionary annual bonus, stock-based long-term incentives, award-winning time-off plans, flexible work models.
- Schedule: maybe "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." That's schedule/working conditions.
We need to decide sections: About the role (mission, territory, business unit, relocation). Responsibilities (What You Will Do). Requirements (Basic Qualifications, Minimum Job Qualifications, Preferred Qualifications). Benefits (Total rewards, health, etc). Pay (salary range). Schedule (working conditions, travel, remote). Possibly Skills could be merged into Requirements.
We must not create sections with filler. Must ensure each section has substantive content.
Let's extract content.
Territory: Alaska, Washington, Oregon, Idaho, Montana. Supporting Bone Health business unit. Relocation not included.
Mission statement: "Join Amgen's 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 Amgen and role.
Now responsibilities: bullet list from "What You Will Do". Let's extract each sentence as bullet.
- Manage defined accounts within a specified geographic region for Patient Access and Reimbursement.
- Support products by executing the collaborative territory strategic plan.
- Ensure an 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 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.
Now 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.
Now qualifications:
Basic Qualifications (list of education/experience combos):
- 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, must have experience directly managing people and/or leadership experience leading teams, projects, programs, or directing allocation of resources. Managerial experience may run concurrently with required technical experience.
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 ability to manage multiple projects
- Strong computer literacy, including Word, Excel, and PowerPoint, and 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
Preferred Qualifications:
- Bachelor's degree in business, healthcare, or a related field
- 6 years' experience with specialty/biologic self-injectable (pharmacy benefit) or physician-administered (buy and bill/medical benefit) products
- Advanced knowledge of medical insurance terminology
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B for buy & bill products and Part D for Pharmacy products).
- Ability to manage ambiguity and problem-solve
- Ability to manage expenses within allocated budgets
- Strong medical reimbursement experience and/or Specialty Pharmacy and Buy & Bill knowledge (duplicate)
- Proven presentation and facilitation skills (duplicate)
- Strong written and oral communication skills (duplicate)
- Organizational skills and project management experience, including ability to manage multiple projects (duplicate)
- Strong computer literacy, including Word, Excel, and PowerPoint, and ability to conduct web-based meetings (duplicate)
- Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers (duplicate)
We can deduplicate but keep substance.
Now Benefits/Thrive section:
- Competitive benefits to care for professional and personal growth and well-being.
- Expected annual salary range: $145,471.00 to $196,813.00 (this is Pay).
- In addition to base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising:
- Health and welfare plans for staff and eligible dependents
- Financial plans with opportunities to save towards retirement or other goals
- Work/life balance
- Career development opportunities that may include:
- 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
- Discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
- Stock-based long-term incentives
- Award-winning time-off plans
- Flexible work models, including remote and hybrid work arrangements, where possible
Also mention: "From our competitive benefits to our collaborative culture, we'll support your journey every step of the way."
Now schedule: we have remote, home office days, travel, etc.
We need to output HTML with headings for each section we include.
Potential sections:
- About the role (mission, territory, relocation)
- Responsibilities (What You Will Do)
- Requirements (maybe combine Basic, Minimum, Preferred into Requirements)
- Benefits (Total rewards, etc)
- Pay (salary range)
- Schedule (Working conditions, remote, travel)
We must not create sections with filler. Ensure each has content.
Let's craft.
About the role: include territory, business unit, relocation not included, mission statement.
Responsibilities: list of duties as - .
Requirements: could be split into Basic Qualifications, Minimum Job Qualifications, Preferred Qualifications but we can combine into one
with all points? Might be long but okay. However we need to preserve all substantive information; we can list them as separate subheadings? But only allowed headings are for sections; we cannot add subheadings like . So we need to keep within
or
. We could have a summarizing that there are basic, minimum, preferred qualifications and then list them in
. That's okay.
But we need to avoid losing detail. We'll include all points as list items.
Benefits: list of benefits.
Pay: just salary range as .
Schedule: list of working conditions.
Now ensure we don't include boilerplate like EEO, application instructions, etc. Remove those.
Now produce HTML.
Let's construct.
About the role
Territory covers: Alaska, Washington, Oregon, Idaho, Montana. This role supports the Bone Health business unit. Relocation is not included for this position. Join Amgen's mission of serving patients: At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With a 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, you'll help make a lasting impact on patients' lives 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 within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Responsibilities
- Manage defined accounts within a specified geographic region for
- .
Requirements: could be split into Basic Qualifications, Minimum Job Qualifications, Preferred Qualifications but we can combine into one
- with all points? Might be long but okay. However we need to preserve all substantive information; we can list them as separate subheadings? But only allowed headings are
- Manage defined accounts within a specified geographic region for
for sections; we cannot add subheadings like
. So we need to keep within
or
- . We could have a
summarizing that there are basic, minimum, preferred qualifications and then list them in
- . That's okay.
But we need to avoid losing detail. We'll include all points as list items.
Benefits: list of benefits.
Pay: just salary range as
. Schedule: list of working conditions. Now ensure we don't include boilerplate like EEO, application instructions, etc. Remove those. Now produce HTML. Let's construct.
About the role
Territory covers: Alaska, Washington, Oregon, Idaho, Montana. This role supports the Bone Health business unit. Relocation is not included for this position. Join Amgen's mission of serving patients: At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With a 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, you'll help make a lasting impact on patients' lives 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 within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Responsibilities