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4 дня назад

Field Reimbursement Manager (Bone Health)

145 471 - 196 813$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Field Reimbursement Manager (Bone Health): Managing patient access and reimbursement for Amgen's Bone Health business across a defined U.S. territory with an accent on payer coverage, prior authorization, appeals, and patient support programs. Focus on resolving patient-level reimbursement challenges, educating healthcare providers, and coordinating coverage issues with HUBs and cross-functional partners.

Location: Seattle, Washington; territory covers Alaska, Washington, Oregon, Idaho, and Montana. Hybrid field role with two days per week in the geography for customer appointments, one to two home-office days per week, and up to 40% travel by automobile or plane. Candidates must live in the geography or within 10 miles of its border. Relocation is not included.

Annual salary: $145,471–$196,813, plus eligible benefits, bonus or sales incentive, and stock-based long-term incentives.

Company

hirify.global is a biotechnology company developing, manufacturing, and delivering medicines across oncology, inflammation, general medicine, and rare disease.

What you will do

  • Manage defined accounts and execute the territory strategy for patient access and reimbursement.
  • Provide live coverage support from physician order through benefits investigation, prior authorization, appeals, and claims resolution.
  • Review patient-specific information and resolve coverage challenges involving protected health information.
  • Educate healthcare providers on commercial, Medicare, and Medicaid coverage, formulary requirements, insurance procedures, and financial assistance programs.
  • Act as a payer expert for the assigned geography and communicate payer changes to stakeholders.
  • Coordinate reimbursement issues with HUBs and cross-functional partners.

Requirements

  • Doctorate; or a master's degree plus 3 years of customer service or leadership experience; or a bachelor's degree plus 5 years; or an associate degree plus 10 years; or a high school diploma/GED plus 12 years.
  • Experience directly managing people or leading teams, projects, programs, or resource allocation.
  • At least 2 years of experience in public or private third-party access or the pharmaceutical industry.
  • Strong medical reimbursement, specialty pharmacy, and Buy & Bill knowledge.
  • Experience with insurance verification, claims adjudication, physician offices or clinics, pharmacies, pharmaceutical manufacturers, HUBs, billing, coding, and appeals.
  • Must live in the assigned geography or within 10 miles of its border; valid driver's license and clean driving record required.

Nice to have

  • Bachelor's degree in business, healthcare, or a related field.
  • Six years of experience with specialty or biologic self-injectable or physician-administered products.
  • Advanced knowledge of medical insurance terminology and CMS policies, including Medicare Part B and Part D.

Culture & Benefits

  • Collaborative, innovative, science-based work environment.
  • Health, dental, vision, life, disability, and flexible spending benefits.
  • Retirement and savings plan with company contributions.
  • Annual bonus or field sales incentive plan, stock-based incentives, and paid time off.
  • Flexible work models, including remote and hybrid arrangements where possible.

Hiring process

  • Applications are accepted until a sufficient number of candidates are received or a candidate is selected.
  • Visa sponsorship is not guaranteed.

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