Job title: Sr. Associate Insurance Reimbursement Associate – Team Lead – US Remote
Company: Amgen
Job description: Career Category Value and AccessJob DescriptionHOW MIGHT YOU DEFY IMAGINATION?You’ve worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience, and passion to work toward your goals? At Amgen, our shared mission—to serve patients—drives all that we do. It is key to our becoming one of the world’s leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.If you feel like you’re part of something bigger, it’s because you are. At Amgen, our shared mission—to serve patients—drives all that we do. It is key to our becoming one of the world’s leading biotechnology companies. We are global collaborators who achieve together—researching, manufacturing, and delivering ever-better products that reach over 10 million patients worldwide. It’s time for a career you can be proud of. Join us!Sr. Associate Insurance Reimbursement Associate – Team LeadLiveWhat you will doLet’s do this! Join an incredible team that’s redefining Amgen’s patient support programs. In this vital role, you will be handling industry leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program from the ground up.Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and significant careers through exciting assignments, career development, and valuable opportunities!Job Overview:Under the general direction of the HUB Manager, the Team Lead interfaces and works closely with the HCP office staff, Amgen Access Specialists (AAS), and payers to remove barriers and enable patients to start and/or continue therapy. The Team Lead understands program designs, coordinates with various insurance companies as well as health care professionals to facilitate the necessary and prescribed therapy for their patients.Key Responsibilities:In this vital role you will provide a high level of Denied Claims and Escalation support to internal and external business partners. You will also provide benefit verification, prior authorization, and reimbursement information to customers in alignment with standard operating procedures.Interpret medical and/or pharmacy insurance benefits as needed to customersProvide support with provider portal and portal associated tasks, as neededAssign cases to team to maintain agent workflowProvide program-specific education to HCP office staff, healthcare professionals and both internal and external business partnersCommunicate outcomes to customersResearch and resolve complex claim denials or underpayment of claimsAnalyze and compile data regarding reimbursement trends to assist with continuous improvement effortsEngage in reimbursement conversations with both commercial and government payorsCommunicate with payors and HCP to ensure accuracy and timelinessProviding timely status updates to Amgen Access Specialists (AAS), as well as health care professionals and office staffBuild positive internal and external working relationships with business partnersSubject Matter Expert (SME) responsible for providing task-specific training to team members and new hires, as necessarySkilled at handling critical issues and maintains frequent contact with customers during the resolution processes for escalated casesReports all Adverse Events (AE) as required and aligned with training and Standard Operational Procedures (SOP)Assists with the development of program training documentsProven ability to positively influence team members to shift as the business needs change.Assist team members resolve work-related issues (i.e. submit Pulse tickets, answer program questions, etc.)Performs related duties as assignedWinWhat we expect of youWe are all different, yet we all use our unique contributions to serve patients. The transformational professional we seek is an advocate with these qualifications.Basic Qualifications:Master’s degree ORBachelor’s degree and 2 years of Customer Service/Call Center experience ORAssociate’s degree and 6 years of Customer Service/Call Center experience ORHigh school diploma / GED and 8 years of Customer Service/Call Center experience ORPreferred Qualifications:Proven experience with claims and reimbursementConfident communicator, skilled both in verbal and written interactions with customersAbility to easily adapt to change and adjust prioritiesSkilled at active listening, attention to detail, and problem solvingGeneral knowledge of medical reimbursement, pharmacy operations and medical claimsUnderstanding of claims coding (ICD-9 and ICD-10) is preferredProven experience with MS Office productsBachelor’s degreeThriveWhat you can expect of usAs we work to develop treatments that take care of others, we also work to care for our teammates’ professional and personal growth and well-being.The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications.Amgen offers a Total Rewards Plan comprising 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 including:Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.A discretionary annual bonus program, or for field sales representatives, a sales-based incentive planStock-based long-term incentivesAward-winning time-off plans and bi-annual company-wide shutdownsFlexible work models, including remote work arrangements, where possibleApply nowfor a career that defies imaginationObjects in your future are closer than they appear. Join us.careers.amgen.comAmgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.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.Ready to Apply for the Job?We highly recommend utilizing Workday’s robust Career Profile feature to complete the application process. A link to update your profile is available when you click Apply. You can then complete your Workday profile in minutes with the “Upload My Experience” functionality to upload an updated copy of your resume or you can simply edit the individual sections of your Career Profile.Please note that you should be in your current position for at least 18 months before applying to internal positions. Staff must notify their current manager if invited for an interview. In addition, Staff are ineligible to apply for open positions if (a) their performance is currently being managed on a performance improvement plan (PIP) or other locally utilized formal coaching document or (b) their most recent performance rating was not a “Partially Meets Expectations” or higher. Please visit our for more detailed informationGCF LevelGCF Level 04Career CategoryValue and AccessPosition TypeFull time.Salary Range 77,003.00 USD – 104,762.00 USD
Expected salary: $77003 – 104762 per year
Location: USA
Job date: Thu, 06 Jun 2024 04:50:34 GMT
