Field Reimbursement Manager - Seattle, WA
Amgen Inc
Amgen seeks a Field Reimbursement Manager to support the Bone Health business unit across Alaska, Washington, Oregon, Idaho, and Montana. The role involves managing patient access and reimbursement for defined accounts, coordinating with healthcare providers and payers, and resolving coverage challenges.
Responsibilities
- Manage reimbursement accounts and execute territory strategic plans for patient access support
- Provide one-on-one coverage support from physician order through payer authorization, appeals, and denials resolution
- Educate healthcare providers on payer coverage policies, formulary criteria, and product benefit designs
- Review patient-specific insurance information and coordinate access issues with relevant partners including the hub
- Conduct office education on prior authorization, claims resolution, and alternate funding/financial assistance programs
Requirements
- Master's degree plus 3 years customer service/leadership experience, or bachelor's degree plus 5 years relevant experience
- Minimum 2 years in third-party payer access or pharmaceutical managed care and clinical support
- Strong medical reimbursement experience and specialty pharmacy knowledge
- Proven presentation, facilitation, and written/oral communication skills
- Project management experience and proficiency with Word, Excel, PowerPoint, web-based platforms
- Healthcare industry experience with insurance verification, claims, physician offices, or manufacturers
- Knowledge of commercial payers, Medicare plans, and state Medicaid programs; live in or within 10 miles of territory
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