Quality Manger- Reimbursement Hub (US-Remote)
HOW MIGHT YOU DEFY IMAGINATION?
Youve earned your degree. How will you use that achievement to reach your goals? Do more with the knowledge youve worked hard to acquire and the passion you already have. At Amgen, our shared missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds leading biotechnology companies, reaching over 10 million patients worldwide. Become the professional you are meant to be in this meaningful role.
Quality Manager Reimbursement Hub
What you will do
Lets do this! Join an incredible team thats redefining Amgens 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!
Under the general direction of the HUB Senior Manager, this Quality Analyst is responsible for ensuring the efficiency and accuracy of the HUB processes and personnel. This position will evaluate performance across all types of the omni channel contacts with customers. The Analyst will work cross-functionally with Knowledge Management, Training and Operation Supervisors to assist in closing any gaps and to drive continuous improvement of HUB services.
Assist in the designing of the quality monitoring program across the medical benefit portfolio
Perform quality assurance checks to ensure accuracy of summary of benefits sent out to providers
Work with the Pulse team to improve the layout and presentation of the summary of benefits
Collaborate through calibration sessions with Leadership, Training and Knowledge Management to ensure consistent evaluation
Perform side by sides and call listening sessions
Provide feedback to Advocates, Leadership and Trainers
Analyze Pulse CRM and identify areas for quality improvement
What we expect of you
We are all different, yet we all use our unique contributions to serve patients. The professional we seek has these qualifications.
Masters degree and 2 years of proven experience in a reimbursement HUB, medial insurance, physicians office, or healthcare setting
Bachelors degree and 4 years of proven experience in a reimbursement HUB, medial insurance, physicians office, or healthcare setting
Associate degree and 10 years of proven experience in a reimbursement HUB, medial insurance, physicians office, or healthcare setting
High school diploma / GED and 12 years of proven experience in a reimbursement HUB, medial insurance, physicians office, or healthcare setting
Previous supervisory or leadership experience preferred
In depth knowledge of reimbursement, patient assistance programs, database elements and functionality; operational policies and processes
Dynamic individual who can work across multiple teams to identify quality issues and quickly resolve them
Critical Success Factors:
Strong social skills and attention to detail
Ability to communicate effectively both orally and in writing
Ability to handle multiple tasks
Solid understanding of Microsoft Office and expertise in internal CRM/Pulse platform
Flexibility to continuously evaluate and prioritize contending assignments
Some of the vast rewards of working here
As 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.
Full support and career-development resources to expand your skills, enhance your expertise, and maximize your potential along your career journey
A diverse and inclusive community of belonging, where teammates are empowered to bring ideas to the table and act
Generous Total Rewards Plancomprising health, finance and wealth, work/life balance, and career benefitswith compensation and benefits rated above 4 stars (out of 5) on Glassdoor
Join UsIf you're seeking a career where you can truly make a difference in the lives of others, a career where you can work at the absolute forefront of biotechnology with the top minds in the field, you'll find it at Amgen.Amgen, a biotechnology pioneer, discovers, develops and delivers innovative human therapeutics. Our medicines have helped millions of patients in the fight against cancer, kidney disease, rheumatoid arthritis and other serious illnesses.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 but compete intensely to win. Together, we live the Amgen values as we continue advancing science to serve patients.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, 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.Amgen requires all staff in the United States, Puerto Rico and Canada to be vaccinated from COVID 19 as a condition of employment. In accordance with applicable law, Amgen will provide reasonable accommodations to staff members who qualify on the basis of a medical reason or a sincerely held religious belief, practice, or observance. Such accommodation may not pose an undue hardship to Amgen, its operations, or its staff.