Field Reimbursement Manager, Miami, FL

Field Reimbursement Manager – Miami, FL Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. The FRM will support products by executing the collaborative territory strategic plan, ensuring an understanding of the reimbursement process, field reimbursement services, and patient support programs. 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, appeals/denials requirements, and forms. Review patient‑specific information in cases where the site requests assistance resolving 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 the defined geography and communicate payer changes to key stakeholders promptly. Offer office education during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and 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 the specified geography for customer appointments, with remote and work‑from‑home options. One to two home office days per week. Must be able to travel 60‑80% via automobile or plane and possess a valid driver’s license with a clean record. Basic Qualifications Doctorate degree or Master’s degree with 3 years of customer service and/or leadership experience. Bachelor’s degree with 5 years of customer service and/or leadership experience. Associate’s degree with 10 years of customer service and/or leadership experience. High school diploma/GED with 12 years of customer service and/or leadership experience. Experience directly managing people and/or leading teams, projects, programs, or allocating resources. Preferred Qualifications Bachelor’s degree in business, healthcare, or a related field. 6 years of experience with specialty/biologic self‑injectable or physician‑administered products. Bilingual proficiency in English and Spanish. Advanced knowledge of medical insurance terminology. Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes, with expertise in Medicare PartB (for buy‑and‑bill products) and PartD (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‑and‑bill knowledge. Proven presentation and facilitation skills. Strong written and oral communication skills. Organizational and project management experience, including the ability to manage multiple projects. Strong computer literacy: Word, Excel, PowerPoint; ability to conduct web‑based meetings. Experience in the healthcare industry, including insurance verification, claim adjudication, physician’s offices or clinics, pharmacies, or pharmaceutical manufacturers. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is 145,470.70USD – 196,813.30USD. 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. We will ensure that individuals with disabilities are provided reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. #J-18808-Ljbffr