Amgen Seeks Field Reimbursement Manager to Support Patient Access in Louisiana
Amgen is currently seeking a Field Reimbursement Manager for a territory based in New Orleans, Louisiana. The position, posted on , focuses on managing accounts within a specified geographic region to support patient access and reimbursement for Amgen products.
According to the job description, the Field Reimbursement Manager (FRM) will execute a collaborative territory strategic plan, ensuring a thorough understanding of the reimbursement process, field reimbursement services, and available patient support programs. A key aspect of the role involves resolving patient-level reimbursement issues, requiring familiarity with and experience handling Protected Health Information (PHI).
The FRM will act as a direct support resource, offering assistance from the initial physician order through the entire reimbursement journey – including payer prior authorizations and appeals processes. Responsibilities include reviewing patient-specific information at the request of healthcare providers to resolve coverage challenges, and educating providers on coverage changes impacting product access.
Collaboration is central to the role. The FRM will coordinate with relevant partners, including a dedicated HUB, to address access and reimbursement issues. They will also provide information to healthcare professionals regarding product coverage under various benefit designs, including commercial, Medicare, and Medicaid plans. Serving as a payer expert for their defined geography, the FRM will promptly communicate any payer changes to key stakeholders.
The position requires providing office education on the access process, covering topics such as formulary coverage, utilization management criteria, insurance forms, prior authorization procedures, and claims resolution – utilizing only approved materials. The FRM will also review patient insurance benefit options and explore alternate funding or financial assistance programs.
Working Conditions and Travel
The role involves a hybrid work model, with three days per week dedicated to customer appointments within the designated geography. The remaining time is expected to be spent working remotely. The position requires travel up to 60-80% of the time, utilizing both automobile and air travel. A valid driver’s license and a clean driving record are mandatory. The role may involve extended periods of sitting and keyboard work.
Qualifications
Amgen seeks candidates with a minimum of two years of experience in the public or private third-party access arena or pharmaceutical industry, coupled with a doctorate degree. Alternatively, a master’s degree requires six years of relevant experience, while a bachelor’s degree requires eight years. An associate degree necessitates ten years of experience in a similar role.
Preferred qualifications include a bachelor’s degree in business, healthcare, or a related field, along with six years of experience with specialty or biologic self-injectable (pharmacy benefit) or physician-administered (buy and bill/medical benefit) products. Advanced knowledge of medical insurance terminology is also desired.
The ideal candidate will demonstrate expertise in Centers for Medicare & Medicaid Services (CMS) policies and processes, particularly within Medicare (Part B for buy & bill products and Part D for pharmacy products). Strong problem-solving skills, the ability to manage ambiguity, and experience managing expenses within allocated budgets are also valued.
Amgen also seeks candidates with strong medical reimbursement experience, specialty pharmacy and buy & bill knowledge, proven presentation and facilitation skills, and strong written and oral communication abilities. Organizational skills, project management experience, and computer literacy – including proficiency in Word, Excel, and PowerPoint – are also important.
Amgen’s Commitment to Employees
Amgen emphasizes its commitment to serving patients and fostering a collaborative, innovative, and science-based culture. The company offers a Total Rewards Plan, including health and welfare benefits, retirement savings plans, work/life balance initiatives, and career development opportunities. The expected annual salary range for this position in the U.S. Is $160,722.00 to $180,762.00.
The company states it will ensure reasonable accommodations are provided for individuals with disabilities throughout the job application and employment process.
The application deadline is , though Amgen may continue accepting applications after this date if needed. Amgen is an Equal Opportunity employer.
