Field Reimbursement Specialist Senior Manager - West

Amgen•Los Angeles, CA
•$176,905 - $239,341•Remote

About The Position

The Tezspire Field Reimbursement Regional Senior Manager leads a regional team of Field Reimbursement Managers and executes reimbursement strategy to support optimal access to Tezspire in the Respiratory therapeutic area. The role builds and coaches a high-performing team, translates national and regional priorities into field execution, and fosters accountability, collaboration, inclusion, and positive momentum. The Senior Manager is accountable for team performance against field KPIs and service expectations, including personal and team field-time measures, and for delivering an excellent, compliant access experience for customers and patients. The role uses payer, account, market, competitive, channel, and performance insights to guide regional strategy, develop team capability, and address access barriers across Specialty Pharmacy and Buy & Bill channels. The position is field-based, with regular in-person engagement across the assigned region and remote, work-from-home office demands. Travel of up to 60–80% by automobile or plane may be required depending on geography and business needs. The role requires a valid driver's license and clean driving record; work may involve long periods of sitting and/or keyboard use.

Requirements

  • One of the following education and experience combinations in a public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support: doctorate degree and 2 years; master's degree and 4 years; bachelor's degree and 6 years; associate's degree and 10 years; or high school diploma/GED and 12 years.
  • Valid driver's license with a clean driving record.
  • Ability to travel up to 60–80% by automobile or plane, based on geography and business needs.
  • Ability to meet field-time and coaching expectations and participate in regular in-person engagement across the region.

Nice To Haves

  • Bachelor's degree in business, healthcare, or a related field.
  • Five years of experience as a manager or first-line leader, or demonstrated people leadership experience coaching, developing, motivating, and managing others.
  • Three years of experience in third-party access or pharmaceutical/biotechnology field reimbursement, managed care, market access, clinical support, or a related access role.
  • Expertise in Specialty Pharmacy and Buy & Bill reimbursement, including prior authorization, appeals and denials, coding, billing, claims, benefit design, and patient support programs.
  • Understanding of commercial payer, Medicare, and Medicaid access and reimbursement dynamics and ability to translate payer policy changes into field action.
  • Experience leading and coaching account management, business planning, and customer engagement in 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 team culture, set expectations, establish accountability, and manage individual and team performance.
  • Strong cross-functional leadership and collaboration skills and ability to influence in a complex matrix organization.
  • Commitment to ethical, legal, and compliance standards and experience leading teams under established field reimbursement rules of engagement.
  • Presentation, facilitation, coaching, and communication skills for engaging field teams, customers, 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.
  • Healthcare industry experience, including physician offices or clinics, specialty pharmacy, HUB services, insurance verification, claim adjudication, or pharmaceutical/biotechnology manufacturers.
  • 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.

Responsibilities

  • Lead, coach, develop, and retain Field Reimbursement Managers through clear expectations, regular coaching, field observations, feedback, performance management, and development planning.
  • Build a team culture based on accountability, collaboration, inclusion, trust, and positive momentum while reinforcing Amgen values and leadership behaviors.
  • Set performance expectations and ensure the team achieves field KPIs, service-level expectations, customer engagement measures, and business objectives.
  • Meet established Senior Manager field-time and coaching expectations, maintaining appropriate field presence to observe customer engagement, coach in real time, and assess market dynamics.
  • Ensure consistent delivery of a high-quality, compliant customer and patient access experience through reimbursement expertise, responsive engagement, issue resolution, and follow-through.
  • Develop and execute regional strategies that translate national access priorities into territory and account plans using payer, account, market, competitive, channel, and performance insights.
  • Coach FRMs in account management, analytical reasoning, fact-based decision-making, account prioritization, and account-specific access strategy.
  • Maintain expertise in Specialty Pharmacy and Buy & Bill reimbursement and develop team capability to support a dual-benefit product model.
  • Monitor payer dynamics, reimbursement policy and economics, competitive landscape, channel trends, and stakeholder practices; translate insights into regional strategy and execution.
  • Lead compliant cross-functional collaboration with Sales, Key Account Management, Market Access, Medical, HUB, Operations, Training, and other partners.
  • Lead regional business reviews and performance discussions, establish actions, and ensure follow-through.
  • Identify, escalate, and help resolve systemic access, reimbursement, process, and operational issues; communicate insights and recommendations to leadership and partners.
  • Ensure team compliance with business rules, policies, procedures, privacy requirements, and field reimbursement rules of engagement.
  • Partner with Training and Capability Development to identify skill gaps, support onboarding, and advance reimbursement and account-management capabilities.
  • Drive operational excellence through regional planning, resource prioritization, expense management, CRM adoption, documentation, escalation management, and consistent processes.
  • Hire and onboard talent, build succession and development plans, and empower team members to grow and deliver results.
  • Influence across a complex matrix organization, building trusted relationships and aligning stakeholders around access priorities and customer needs.

Benefits

  • Health and welfare plans for staff and eligible dependents.
  • Financial plans with opportunities to save toward retirement and other goals.
  • Career development opportunities.
  • Retirement and Savings Plan with generous company contributions.
  • Group medical, dental, and vision coverage.
  • Life and disability insurance.
  • Flexible spending accounts.
  • Discretionary annual bonus program or, for field sales representatives, a sales-based incentive plan.
  • Stock-based long-term incentives.
  • Award-winning time-off plans.
  • Flexible work models where possible.
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