What are the responsibilities and job description for the Field Reimbursement Specialist - Los Angeles, CA position at Amgen?
Join Amgens Mission of Serving Patients
At Amgen, if you feel like youre part of something bigger, its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do.
Since 1980, weve helped pioneer the world of biotech in our fight against the worlds 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, youll 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, youll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Field Reimbursement Specialist - Los Angeles, CA
What you will do
Lets do this. Lets change the world. In this vital role the Field Reimbursement Specialist (FRS) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. This role involves supporting products by executing the collaborative territory strategic plan. The FRS 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).
- 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 :
What we expect of you
We are all different, yet we all use our unique contributions to serve patients. The field reimbursement professional we seek is a collaborator with these qualifications.
Basic Qualifications :
Doctorate degree AND 2 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and / or sales
Masters degree AND 6 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and / or sales
Bachelors degree AND 8 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and / or sales
Associate degree AND 10 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and / or sales
Preferred Qualifications :
What you can expect of us
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, well support your journey every step of the way.
The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is $155,968.00 to $173,578 .00. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications.
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 :
Apply now
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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. You will not be penalized for redacting or removing this information.
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 diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.
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 accommodation 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.
Salary : $155,968 - $173,578
