Talent.com
Field Reimbursement Manager - Phoenix, AZ
Field Reimbursement Manager - Phoenix, AZAmgen • Henderson, NV, US
Field Reimbursement Manager - Phoenix, AZ

Field Reimbursement Manager - Phoenix, AZ

Amgen • Henderson, NV, US
16 days ago
Job type
  • Full-time
Job description

Field Reimbursement Manager Phoenix, AZ

Territory Covers : Tucson, AZ; Scottsdale, AZ; Flagstaff, AZ; Mesa, AZ; Lake Havasu, AZ; Bullhead City, AZ; Kingman, AZ; Las Vegas, NV; Henderson, NV

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.

    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 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 :

  • Bachelors 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.

    Create a job alert for this search

    Field Reimbursement Manager • Henderson, NV, US

    Related jobs
    DCS Reimbursement Manager

    DCS Reimbursement Manager

    VirtualVocations • Henderson, Nevada, United States
    Full-time
    A company is looking for a Mgr, DCS Reimbursement.Key Responsibilities Coordinates daily activities of DCS Reimbursement Specialists and oversees referral data entry Analyzes DCS data, resolves ...Show more
    Last updated: 14 hours ago • Promoted • New!
    Manager of Virtual Health

    Manager of Virtual Health

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a Manager of Virtual Health : Primary Care Support.Key Responsibilities Oversees daily operations of the practice, including patient scheduling, registration, and clinical...Show more
    Last updated: 16 hours ago • Promoted • New!
    Certified Revenue Cycle Specialist

    Certified Revenue Cycle Specialist

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a Revenue Cycle Specialist Follow-up 1 (Patient Account Representative 1).Key Responsibilities Process and document transactions on insurance accounts, ensuring accuracy ...Show more
    Last updated: 30+ days ago • Promoted
    RISK MANAGER

    RISK MANAGER

    HealthEcareers - Client • Las Vegas, NV, USA
    Full-time
    Children’s Medical Center with a NICU, a pediatric ICU and separate pediatric ER; advanced cardiovascular care, surgical services, women’s health and oncology care. Summerlin Hospital is an accredit...Show more
    Last updated: 4 days ago • Promoted
    Field Reimbursement Manager - Phoenix, AZ

    Field Reimbursement Manager - Phoenix, AZ

    Amgen • Las Vegas, NV, US
    Full-time
    Field Reimbursement Manager Phoenix, AZ.Territory Covers : Tucson, AZ; Scottsdale, AZ; Flagstaff, AZ; Mesa, AZ; Lake Havasu, AZ. Bullhead City, AZ; Kingman, AZ; Las Vegas, NV; Henderson, NV.Join Am...Show more
    Last updated: 16 days ago • Promoted
    Travel CT Tech - $2,620 to $2,928 per week in Hackensack, CT

    Travel CT Tech - $2,620 to $2,928 per week in Hackensack, CT

    AlliedTravelCareers • Hackensack, CT, US
    Full-time
    AlliedTravelCareers is working with Prime Time Healthcare to find a qualified CT Tech in Hackensack, Connecticut!.Now Hiring : Allied Healthcare CT - Hackensack, NJ. Contact us for Pay Information.Ac...Show more
    Last updated: 6 days ago • Promoted
    Revenue Cycle Services Manager

    Revenue Cycle Services Manager

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a Manager, Revenue Cycle Services.Key Responsibilities Oversee the Accounts Receivable team, including hiring, training, and performance evaluations Supervise daily AR p...Show more
    Last updated: 30+ days ago • Promoted
    Healthcare Product Delivery Manager

    Healthcare Product Delivery Manager

    VirtualVocations • Henderson, Nevada, United States
    Full-time
    A company is looking for a Product Delivery Manager specializing in Healthcare for Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare projects moderniz...Show more
    Last updated: 18 hours ago • Promoted • New!
    Oregon Licensed Revenue Cycle Specialist

    Oregon Licensed Revenue Cycle Specialist

    VirtualVocations • Henderson, Nevada, United States
    Full-time
    A company is looking for a Revenue Cycle Specialist Follow-up 1 (Patient Account Representative 1).Key Responsibilities Process and document transactions on insurance accounts, ensuring correct s...Show more
    Last updated: 16 hours ago • Promoted • New!
    Florida Revenue Cycle Specialist

    Florida Revenue Cycle Specialist

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a Revenue Cycle Specialist - Remote.Key Responsibilities : Manage denial trends and resolve unpaid, denied, and rejected claims Complete collection activities and process...Show more
    Last updated: 16 hours ago • Promoted • New!
    Credit Resolution Specialist

    Credit Resolution Specialist

    VirtualVocations • Henderson, Nevada, United States
    Full-time
    A company is looking for a Credit Resolution Specialist - Remote.Key Responsibilities Perform refund and credit analyses for various payors and ensure appropriate actions are taken to resolve cre...Show more
    Last updated: 1 day ago • Promoted
    Remote Authorization Specialist

    Remote Authorization Specialist

    VirtualVocations • Henderson, Nevada, United States
    Remote
    Full-time
    A company is looking for a Remote Authorization Specialist responsible for obtaining and maintaining prior authorization status for patient medications and therapies. Key Responsibilities Obtain a...Show more
    Last updated: 6 hours ago • Promoted • New!
    Revenue Cycle Specialist

    Revenue Cycle Specialist

    VirtualVocations • Henderson, Nevada, United States
    Full-time
    A company is looking for a Revenue Cycle Specialist to manage the lifecycle of patient accounts and ensure efficient claims resolution. Key Responsibilities Process and submit insurance claims, en...Show more
    Last updated: 30+ days ago • Promoted
    Referral / Pre-Auth Specialist

    Referral / Pre-Auth Specialist

    VirtualVocations • Henderson, Nevada, United States
    Full-time
    A company is looking for a Referral / Pre-Auth Specialist for a full-time remote position.Key Responsibilities Process and document referral or prior authorization requests from clinical areas Man...Show more
    Last updated: 1 day ago • Promoted
    RCM Manager

    RCM Manager

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a RCM Manager, Remote.Key Responsibilities Manage day-to-day production of multiple operational groups focusing on technology-driven processes and financial operations P...Show more
    Last updated: 9 days ago • Promoted
    Medicare Authorization Representative

    Medicare Authorization Representative

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a Representative II.Key Responsibilities Utilize multiple software systems to complete Medicare Prior Authorization case reviews Meet or exceed government mandated timel...Show more
    Last updated: 16 hours ago • Promoted • New!
    Director-Philanthropy

    Director-Philanthropy

    Phoenix Children's • Summerlin South, NV, United States of America
    Full-time
    Foundation Director-Philanthropy.This position will lead and manage a team of 5 philanthropy officers.With frontline focus, the Director will be a seasoned major gifts fundraiser responsible for se...Show more
    Last updated: 3 days ago • Promoted
    Certified Diabetes Educator

    Certified Diabetes Educator

    Phoenix Children's • Summerlin South, NV, United States of America
    Full-time
    This position develops, implements, and evaluates proactive patient educational plans and programs to address patient care needs in accordance with established best practices, standards, requiremen...Show more
    Last updated: 3 days ago • Promoted
    Lead Revenue Cycle Management Specialist

    Lead Revenue Cycle Management Specialist

    VirtualVocations • Las Vegas, Nevada, United States
    Full-time
    A company is looking for a Lead, Revenue Cycle Management Specialist.Key Responsibilities : Provide mentorship and oversight to the RCM team, primarily offshore members Handle escalated inquiries...Show more
    Last updated: 30+ days ago • Promoted
    RISK MANAGER

    RISK MANAGER

    The Valley Health System • Las Vegas, US
    Full-time
    Children’s Medical Center with a NICU, a pediatric ICU and separate pediatric ER; advanced cardiovascular care, surgical services, women’s health and oncology care.Summerlin Hospital is...Show more
    Last updated: 4 days ago • Promoted