Field Reimbursement Manager - Chicago, IL

Career Category

Sales & Marketing Operations

Job Description

HOW MIGHT YOU DEFY IMAGINATION?

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 mission—to serve patients living with serious illnesses—drives 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.

Tezspire Field Reimbursement Manager (FRM) 

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What you will do

The Tezspire Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region in the respiratory therapeutic area. This role involves supporting our 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). 

Key Responsibilities: 

• 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. 

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What we expect of you

We are all different, yet we all use our unique contributions to serve patients

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