Talent.com
Field Reimbursement Manager - Dallas, TX

Field Reimbursement Manager - Dallas, TX

AmgenDallas, TX, US
2 days ago
Job type
  • Full-time
Job description

Field Reimbursement Manager Dallas, TX

Territory Covers : Shreveport, LA; Longview, TX; Garland, TX; Plano, TX; Fort Worth, TX; Grapevine, TX

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 missionto serve patients living with serious illnessesdrives all that we do.

Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach millions of patients each year. As a member of the Amgen team, you'll 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, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.

What you will do

Let's do this. Let's 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

Working Conditions :

  • 3 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 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
  • What we expect of you

    We are all different, yet we all use our unique contributions to serve patients. The field reimbursement professional we seek is a collaborator with these 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 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 of resources. Your managerial experience may run concurrently with the required technical experience referenced above
  • 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
  • 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
  • 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
  • What you can expect from us

    As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way.

    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.

    In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of 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 that may include :

  • A 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
  • Flexible work models, including remote and hybrid work arrangements, where possible
  • Apply now and make a lasting impact with the Amgen team.

    Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.

    As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.

    Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law.

    Create a job alert for this search

    Field Reimbursement Manager • Dallas, TX, US

    Related jobs
    • Promoted
    Travel MRI Tech - $2,250 to $2,494 per week in Waxahachie, TX

    Travel MRI Tech - $2,250 to $2,494 per week in Waxahachie, TX

    AlliedTravelCareersWaxahachie, TX, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Waxahachie, Texas, 75165!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package...Show moreLast updated: 1 day ago
    • Promoted
    PMO Integration Manager

    PMO Integration Manager

    The Blue Collar Recruiter of MariettaRockwall, TX, US
    Full-time
    This position plays a critical role in aligning people, systems, and processes throughout the acquisition lifecycle to ensure seamless transitions and long-term success. Lead cross-functional integr...Show moreLast updated: 21 days ago
    • Promoted
    Field RN Care Coordinator - Nursing Facilities - Ellis & Johnson Counties, TX

    Field RN Care Coordinator - Nursing Facilities - Ellis & Johnson Counties, TX

    UnitedHealth GroupEnnis, TX, United States
    Full-time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show moreLast updated: 30+ days ago
    • Promoted
    Field Reimbursement Manager - Dallas, TX

    Field Reimbursement Manager - Dallas, TX

    AmgenPlano, TX, US
    Full-time
    Field Reimbursement Manager Dallas, TX.Territory Covers : Shreveport, LA; Longview, TX; Garland, TX; Plano, TX; Fort Worth, TX. Grapevine, TX.Join Amgen's Mission of Serving Patients.At Amgen, if y...Show moreLast updated: 2 days ago
    • Promoted
    Sr. Insurance and Risk Management Manager

    Sr. Insurance and Risk Management Manager

    BayMark Health ServicesLewisville, TX, United States
    Full-time
    Commercial Drivers License Program and motor vehicle policies.Establishes policies and procedures to identify and address risks within the company. Conducts quarterly insurance, risk and safety meet...Show moreLast updated: 2 days ago
    • Promoted
    DAS Field Manager

    DAS Field Manager

    Communication Technology Services IncCarrollton, TX, United States
    Full-time
    Communication Technology Services (CTS.Distributed Antenna System (DAS), Small Cell, and 4G / 5G Private Wireless Networks for Enterprise. Field Manager or an experienced Lead DAS Technician in Dallas...Show moreLast updated: 2 days ago
    • Promoted
    Field Reimbursement Manager

    Field Reimbursement Manager

    Inizio EngageDallas, TX, US
    Full-time
    The Field Reimbursement Manager ("TAM") will be responsible for educating healthcare providers (HCPs) and their staff on product-specific prior authorization and appeals processes, includ...Show moreLast updated: 2 days ago
    • Promoted
    DAS Field Manager

    DAS Field Manager

    Communication Technology Services (CTS)Carrollton, TX, United States
    Full-time
    Communication Technology Services (CTS.Distributed Antenna System (DAS), Small Cell, and 4G / 5G Private Wireless Networks for Enterprise. Field Manager or an experienced Lead DAS Technician in Dallas...Show moreLast updated: 2 days ago
    • Promoted
    Travel Physical Therapist (PT) in Royse City, TX

    Travel Physical Therapist (PT) in Royse City, TX

    AlliedTravelCareersRoyse City, TX, US
    Full-time +1
    AlliedTravelCareers is working with Delta Healthcare Providers to find a qualified Physical Therapist (PT) in Royse City, Texas, 75189!. Setting : Outpatient, Orthopedics .Compensation : $1,786 - $2...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    United States Border Patrol Agent

    United States Border Patrol Agent

    U.S. Customs and Border ProtectionTerrell, Texas, US
    Permanent
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 18 hours ago
    • Promoted
    • New!
    Active Dermatologist

    Active Dermatologist

    United States ArmyVenus, Texas, US
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show moreLast updated: 16 hours ago
    • Promoted
    • New!
    Imaging Operations Manager

    Imaging Operations Manager

    Baylor Scott & White HealthWaxahachie, TX, US
    Full-time
    Location : Baylor Scott & White-Waxahachie.Years of supervisory or managerial experience required, along with 5-7 years of direct radiologic, MRI, or CT tech experience.The Manager of Imaging Op...Show moreLast updated: 21 hours ago
    • Promoted
    Medical Director - North Texas Emergency Department

    Medical Director - North Texas Emergency Department

    Integrative Emergency ServicesEnnis, TX, United States
    Full-time
    IES has an opportunity for an Emergency Department Medical Director at Ennis Regional Medical Center and Parkview Regional Hospital : . Provide on-site management of the clinical and administrative as...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Reserve Entomologist

    Reserve Entomologist

    United States ArmyMidlothian, Texas, US
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show moreLast updated: 16 hours ago
    • Promoted
    • New!
    RPLS / PM - DFW

    RPLS / PM - DFW

    Alliance of Professionals & Consultants, Inc. (APC)Lewisville, TX, US
    Permanent
    Hybrid in Dallas-Fort Worth TX.The RPLS / Project Manager is a critical leader within our surveying department, responsible for managing complex, high-impact survey projects from kickoff through comp...Show moreLast updated: 21 hours ago
    • Promoted
    Dermatologist Opportunity in Rockwall, TX (NE Dallas) - 4 Day Work Week, Sign-On Bonus

    Dermatologist Opportunity in Rockwall, TX (NE Dallas) - 4 Day Work Week, Sign-On Bonus

    Epiphany Dermatology of New Mexico, LLCRockwall, TX, United States
    Full-time +1
    As a practice, we value giving the highest level of patient care and are looking for well trained and driven dermatologists. Teamwork, compassion, and a positive personality are essential! We have ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    US Customs and Border ProtectionRice, TX, United States
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 20 hours ago
    • Promoted
    Customs and Border Protection Officer

    Customs and Border Protection Officer

    US Customs and Border ProtectionRice, TX, United States
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,435 per week in Waxahachie, TX

    Travel MRI Tech - $2,435 per week in Waxahachie, TX

    AlliedTravelCareersWaxahachie, TX, US
    Full-time
    AlliedTravelCareers is working with Cross Country Allied to find a qualified MRI Tech in Waxahachie, Texas, 75165!.As an MRI technologist, you will take medical images of patients for diagnostic pu...Show moreLast updated: 1 day ago
    • Promoted
    District Sales Manager - Spirit

    District Sales Manager - Spirit

    Spirit HalloweenRockwall, TX, US
    Temporary
    Weekly rate ranges from $1,050 - $1,075 per week and is dependent upon qualifications and experience.Benefits include : Repeat DSM Bonus Program, DSM Seasonal Incentive Program.Bonus and Pay program...Show moreLast updated: 2 days ago