Field Reimbursement Manager, Miami, FL

Field Reimbursement Manager, Miami, FL Manage defined accounts within a specified geographic region for Patient Access and Reimbursement. Support products by executing the collaborative territory strategic plan. Understand the reimbursement process, field reimbursement services, and patient support programs. Resolve patient-level reimbursement issues requiring knowledge of 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. Travel up to 60-80% via automobile or plane. Valid driver’s license with a clean driving record. Long periods of sitting and/or keyboard work. Basic Qualifications Doctorate degree Masters degree and 3 years of customer service and/or leadership experience Bachelor’s degree and 5 years of customer service and/or leadership experience Associate’s degree and 10 years of customer service and/or leadership experience High school diploma / GED and 12 years of customer service and/or leadership experience Experience directly managing people and/or leadership experience leading teams, projects, programs, or directing resources 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 Proficiency in English and Spanish, with the ability to communicate effectively in both languages Advanced knowledge of medical insurance terminology Knowledge of Centers for 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 Benefits 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 where possible We are an equal opportunity employer. Amgen considers all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. We will ensure that individuals with disabilities receive reasonable accommodation to participate in the application or interview process, perform essential job functions, and receive other employment benefits. #J-18808-Ljbffr BioSpace