A

Amgen

Makes biotech medicines for serious illnesses

Field Reimbursement Specialist Senior Manager - West

Sales & Account ManagementConfirmed live in the last 24 hours
Full-timeIn-person

About the Job

Requirements

  • A doctorate degree and 2 years of experience in the public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support; or a master's degree and 4 years of such experience; or a bachelor's degree and 6 years; or an associate's degree and 10 years; or a high school diploma/GED and 12 years.
  • A valid driver's license with a clean driving record.
  • Five years of experience as a manager or first-line leader, or demonstrated people leadership experience coaching, developing, motivating, and managing performance of others.
  • Three years of experience in field reimbursement, managed care, market access, clinical support, or a related access role in the public or private third-party access arena or pharmaceutical/biotechnology industry.
  • Expertise in Specialty Pharmacy and Buy & Bill reimbursement, including prior authorization, appeals/denials, coding, billing, claims, benefit design, and patient support programs, with the ability to lead a team supporting a dual-benefit product model.
  • Understanding of commercial payer, Medicare, and Medicaid access and reimbursement dynamics, and the ability to interpret payer policy and translate changes into field action.
  • Ability to lead and coach account management, business planning, and customer engagement within a field-based reimbursement organization.
  • Strategic planning, analytical reasoning, and fact-based decision-making skills, including interpreting quantitative and qualitative data, field KPIs, payer policy, account insights, and performance trends.
  • Ability to build a strong team culture, establish clear expectations, create accountability, and manage individual and team performance.
  • Cross-functional leadership and collaboration skills to influence outcomes across a complex matrix organization.
  • Commitment to ethical, legal, and compliance standards and experience leading teams within established field reimbursement rules of engagement.
  • Presentation, facilitation, coaching, and communication skills for interacting with field teams, customers, cross-functional partners, and senior leadership.
  • Organizational and project management skills, including managing multiple priorities, leading change, and ensuring timely follow-through.
  • Experience using CRM and performance-management tools to monitor field execution, identify trends, and support coaching and business decisions.
  • Experience in healthcare, including physician offices or clinics, specialty pharmacy, HUB services, insurance verification, claim adjudication, or pharmaceutical/biotechnology manufacturers.
  • Ability to travel up to 60–80% by automobile or plane, based on geography and business needs.
  • Ability to meet established field-time and coaching expectations and engage in person across the assigned region.

Responsibilities

  • Lead, coach, develop, and retain a high-performing team of Field Reimbursement Managers through clear expectations, regular coaching, field observations, meaningful feedback, performance management, and development planning.
  • Build and sustain a team culture grounded in accountability, collaboration, inclusion, trust, and positive momentum; recognize strong performance, address challenges, and reinforce company values and leadership behaviors.
  • Set performance expectations and hold the team accountable for field KPIs, service-level expectations, customer engagement measures, and business objectives; use performance data to identify trends, address gaps, and strengthen execution.
  • Meet senior-manager field-time and coaching expectations and ensure regional field presence to observe customer engagement, coach FRMs, assess market dynamics, and stay connected to customer access experiences.
  • Ensure the team delivers an excellent access experience through reimbursement expertise, responsive customer engagement, issue resolution, appropriate follow-through, and compliant execution.
  • Develop and execute regional strategies that translate national access priorities into territory and account plans, using payer, account, market, competitive, channel, and performance insights to identify access barriers and opportunities.
  • Coach FRMs to use account-management principles, analytical reasoning, and fact-based decision-making to prioritize accounts and resources, develop account-specific access strategies, and adapt execution based on performance and market insights.
  • Maintain expertise in Specialty Pharmacy and Buy & Bill reimbursement and ensure the team can navigate the dual-benefit product model.
  • Monitor national, regional, and local payer dynamics, reimbursement policy, competitive landscape, channel trends, reimbursement economics, and stakeholder practices; translate relevant insights into regional strategy and team execution.
  • Lead compliant cross-functional collaboration with Sales, Key Account Management, Market Access, Medical, HUB, Operations, Training, and other partners to align access priorities, resolve barriers, and improve customer experience within established rules of engagement.
  • Lead regional business reviews and performance discussions integrating field KPIs, account insights, payer trends, access barriers, and opportunities; set actions and ensure follow-through.
  • Identify, escalate, and help resolve systemic access, reimbursement, process, or operational issues; communicate insights and recommended actions to leadership and cross-functional partners.
  • Ensure team compliance with business rules, policies, procedures, privacy requirements, and field reimbursement rules through coaching, field observations, virtual engagement, and performance management.
  • Partner with Training and Capability Development to identify skill gaps, support onboarding, reinforce reimbursement and account-management capabilities, and advance team development.
  • Drive operational excellence through regional planning, resource prioritization, expense management, CRM adoption, timely documentation, escalation management, and consistent process execution.
  • Hire and onboard talent, build succession and development plans, and empower team members to grow, take ownership, and deliver results.
  • Build trusted relationships and align stakeholders around access priorities and customer needs through influence across a complex matrix organization.

Desired Qualifications

  • A bachelor's degree in business, healthcare, or a related field.
  • Previous experience leading a field reimbursement team supporting specialty pharmaceutical or biologic products, and/or launching new products or indications.
  • Advanced experience with dual-benefit products and the operational differences between Specialty Pharmacy and physician-administered Buy & Bill channels.
  • Knowledge of Managed Care, Government and Federal payer sectors, Integrated Delivery Networks/Integrated Health Systems, and regional payer dynamics.
  • Advanced knowledge of medical insurance terminology, CMS policies and processes, reimbursement regulations, coding, coverage, and payment methodologies.
  • Experience developing talent, assessing readiness, building succession plans, and coaching leaders or future leaders.
  • Experience leading business reviews and using performance measures, market insights, and customer feedback to improve field execution and access experience.
  • Experience partnering with training, operations, HUB, technology, and other enabling functions to improve field capabilities and processes.

About the Company

Amgen

Makes biotech medicines for serious illnesses

Amgen develops and makes biologic medicines, which are drugs built from proteins and antibodies grown in living cells, for serious conditions such as heart disease, cancer, and bone loss. Its anemia drug Epogen, approved in 1989, became one of the biotechnology industry's first blockbuster medicines. Amgen grows these drugs in large tanks called bioreactors, and its products include the cholesterol drug Repatha, the bone-building drug Evenity, and the severe asthma drug Tezspire. It earns money by selling these medicines, mostly through large drug wholesalers that supply hospitals and pharmacies. Amgen was founded in 1980 and is based in Thousand Oaks, California.

Company size
10,001+
Company stage
IPO
Headquarters
Thousand Oaks, CA
Founded
1980

Recently Posted Jobs

Explore more opportunities at Amgen

See more jobs