BONE Health Field Reimbursement Regional Senior Manager - Mid Atlantic
Amgen Inc
Career Category Marketing Job Description Field Reimbursement Manager, Senior Manager – Mid- Atlantic, US Parts of Michigan, Ohio, Pennsylvania, Virginia, DC, Kentucky, Tennessee Job Description Join Amgen’s Mission of Serving Patients 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. 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. The BONE Health Field Reimbursement Regional Senior Manager is responsible for leading a regional team of Field Reimbursement Managers and executing reimbursement strategy to support optimal access Amgen medications in the Bone Health therapeutic area. This leader builds and coaches a high-performing team, translates national and regional priorities into strong field execution, and creates a culture of accountability, collaboration, inclusion, and positive momentum. Manager is accountable for team performance against established field KPIs and service expectations, including personal and team field-time measures, while ensuring consistent delivery of an excellent, compliant access experience for customers and patients. The role uses payer, account, market, competitive, and performance insights to guide regional strategy, develop FRM capability, and proactively address access barriers across both Specialty Pharmacy and Buy & Bill channels. Lead, coach, develop, and retain a high-performing team of Field Reimbursement Managers through clear expectations, regular coaching, field observations, meaningful feedback, performance management, and intentional development planning. Build and sustain a strong team culture grounded in accountability, collaboration, inclusion, trust, and positive momentum; recognize strong performance, address challenges constructively, and reinforce Amgen Values and expected leadership behaviors. Establish clear performance expectations and hold the team accountable for achieving defined field KPIs, service-level expectations, customer engagement measures, and business objectives. Use performance data to identify trends, address gaps, and strengthen execution. Manager field-time and coaching expectations and ensure appropriate field presence across the region to observe customer engagement, coach FRMs in real time, assess market dynamics, and remain connected to the customer access experience. Ensure the team consistently delivers excellence in the access experience through strong reimbursement expertise, responsive customer engagement, effective issue resolution, appropriate follow-through, and compliant execution. Develop and execute regional strategies that translate national access priorities into actionable territory and account plans, using payer, account, market, competitive, channel, and performance insights to proactively identify access barriers and opportunities. Coach FRMs to apply account management principles, analytical reasoning, and fact-based decision making to prioritize accounts and resources, develop account-specific access strategies, and adapt execution based on performance and market insights. Maintain strong expertise across both Specialty Pharmacy (pharmacy benefit) and Buy & Bill (medical benefit) reimbursement and ensure team capability to navigate the complexities of a dual-benefit product model. Monitor national, regional, and local payer dynamics, reimbursement policy, competitive landscape, channel trends, reimbursement economics, and evolving stakeholder practices; Lead compliant cross-functional collaboration with Sales, Key Account Management, Market Access, Medical, HUB, Operations, Training, and other appropriate partners to align on access priorities, resolve barriers, and improve the customer experience while operating within established rules of engagement. Lead regional business reviews and performance discussions that integrate field KPIs, account insights, payer trends, access barriers, and opportunities; Identify, escalate, and help resolve systemic access, reimbursement, process, or operational issues; Ensure team compliance with established business rules, policies, procedures, privacy requirements, and field reimbursement rules of engagement through coaching, field observations, virtual engagement, and appropriate performance management. Partner with Training and Capability Development to identify skill gaps, support onboarding, reinforce reimbursement and account-management capabilities, and advance continuous development across the team. Drive operational excellence through effective regional planning, resource prioritization, expense management, CRM adoption, timely documentation, escalation management, and consistent execution of established processes. Demonstrate leadership through influence across a complex matrix organization, building trusted relationships and aligning stakeholders around access priorities and customer needs. Doctorate degree and 2 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience Master’s degree and 4 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience Bachelor’s degree and 6 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience Associate’s degree and 10 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience High school diploma / GED and 12 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience Bachelor's degree in business, healthcare, or a related field. Five years of experience as a manager/first-line leader or demonstrated people leadership experience with responsibility for coaching, developing, motivating, and managing performance of others. Three years of experience in the public or private third-party access arena or pharmaceutical/biotechnology industry in field reimbursement, managed care, market access, clinical support, or a related access role. Demonstrated expertise in both Specialty Pharmacy (pharmacy benefit) and Buy & Bill (medical benefit) reimbursement, including prior authorization, appeals/denials, coding, billing, claims, benefit design, and patient support programs, with the ability to lead a team supporting a dual-benefit product model. Strong understanding of commercial payer, Medicare, and Medicaid access and reimbursement dynamics and the ability to interpret payer policy and translate changes into field action. Demonstrated ability to lead and coach account management, business planning, and customer engagement within a field-based reimbursement organization. Proven strategic planning, analytical reasoning, and fact-based decision-making skills, including the ability to interpret quantitative and qualitative data, field KPIs, payer policy, account insights, and performance trends. Demonstrated ability to build a strong team culture, establish clear expectations, create accountability, and manage individual and team performance. Demonstrated commitment to ethical, legal, and compliance standards and experience leading teams within established field reimbursement rules of engagement. Proven presentation, facilitation, coaching, and communication skills with the ability to communicate effectively with field teams, customers, cross-functional partners, and senior leadership. Organizational and project management skills, including the ability to manage multiple priorities, lead change, and drive timely follow-through. Experience using CRM and performance-management tools to monitor field execution, identify trends, and support coaching and business decisions. Experience in the healthcare industry, including physician offices/clinics, specialty pharmacy, HUB services, insurance verification, claim adjudication, or pharmaceutical/biotechnology manufacturers. Previous experience leading a field reimbursement team supporting specialty pharmaceutical or biologic products and/or launching new products or indications. Knowledge of Managed Care, Government and Federal payer sectors, Integrated Delivery Networks/Integrated Health Systems, and regional payer dynamics. Advanced knowledge of medical insurance terminology, CMS policies and processes, reimbursement regulations, coding, coverage, and payment methodologies. Experience developing talent, assessing readiness, building succession plans, and coaching leaders or future leaders. Experience leading business reviews and using performance measures, market insights, and customer feedback to improve field execution and access experience. Experience partnering with training, operations, HUB, technology, and other enabling functions to improve field capabilities and processes. Coaching & Talent Development; Performance Management; Field Execution; Access & Reimbursement Expertise; Dual-Benefit Reimbursement Expertise; Account Management; Compliance Management; Market Access Reimbursement; Performance Measurement; Relationship Building; Customer Access Experience Field-based leadership role with regular in-person engagement across the assigned region; must meet established field-time and coaching expectations. General office demands - Remote, Work from Home. Must be able to travel up to 60-80% via automobile or plane, based on geography and business needs. 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. 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 Flexible work models where possible. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. Application deadline 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 ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. We provide reasonable accommodations to applicants and employees with disabilities, consistent with legal requirements.
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