Virtual Remote Reimbursement Manager - EST

Join Amplity, the full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. No matter where a drug is in its lifecycle, we scale with ease to maximize resources + improve impact for all our clients. Through strategic partnerships + deep therapeutic expertise, Amplity transforms how breakthrough treatments reach the people who need them.

Position Summary:
The Virtual Remote Reimbursement Manager is responsible for supporting patients, healthcare providers, and internal teams in navigating the reimbursement process for pharmaceutical products. This role focuses on ensuring that patients have access to prescribed therapies by identifying and resolving reimbursement barriers. The ideal candidate will have a strong background in healthcare reimbursement, excellent communication skills, and a customer-focused mindset.

The base salary range for this position is $145K–$150K plus bonus potential. Amplity offers a comprehensive benefits package, including health, dental, vision, company-funded disability, 401K, generous PTO, paid holidays, and more.

Key Responsibilities:

• Guide healthcare providers through the reimbursement process for including prior authorizations, appeals, and benefits verification.
• Work with insurance companies, payers, and third-party administrators to address coverage issues and ensure timely access to therapies.
• Provide education regarding insurance benefits and financial assistance programs.
• Ensure all reimbursement activities comply with federal and state regulations, as well as organizational policies.
• Maintain accurate and detailed documentation of all reimbursement activities, including case notes, payer communications, and patient outcomes.
• Work closely with cross-functional teams in a compliant manner.
• Provide insights to internal teams on reimbursement trends and challenges to inform strategic decision-making.
• Educate healthcare providers and internal teams on reimbursement processes, payer requirements, and available patient support programs.
• Stay up to date on changes in reimbursement policies and regulations to provide accurate guidance.
• Identify systemic issues in the reimbursement process and recommend solutions to improve efficiency and patient outcomes.

Qualifications:

• Bachelor’s degree from an accredited institution required
• A degree with a focus in healthcare administration, business, or a related field advantageous.
• A minimum of 3 years of experience in reimbursement, patient access, and or pharmaceutical account management
• Pharmaceutical experience preferred
• Direct experience coordinating with specialty pharmacies preferred
• Knowledge of  healthcare reimbursement from a patient and provider perspective  including patient access   processes, including prior authorizations, coding, and billing and other approaches to pursue coverage
• Understanding how products are covered under benefit design , including government and commercial payer policies.
• Familiarity with HIPAA regulations and patient privacy standards.
• Strong communication skills
• Skilled with technology tools and programs including Microsoft Office Suite, digital meeting platforms and other CRM platforms
• Successfully pass all required Amplity and client training
• Willingness to work in all US time zones as needed

Key Competencies:

• Patient-Centric Approach: Commitment to advocating patient access and delivering excellent customer service.
• Problem-Solving: Analytical and critical-thinking skills to overcome reimbursement challenges.
• Organizational Skills: Ability to manage multiple cases and priorities in a fast-paced environment.
• Collaboration: Works effectively with internal and external stakeholders to achieve shared goals.

EPIIC Values:

All positions at Amplity have a responsibility to demonstrate our EPIIC Values in order to uphold our high-service standards.

Excellence: We set high standards. We are solutions-focused and achieve outstanding results with a professional and positive attitude.

Passion: We love what we do. Our energy inspires, engages, and motivates others.

Innovation: Our ideas set us apart. We are curious and bold and challenge traditional ways of working.

Integrity: We are open, honest, and transparent. We do the right thing with courage and understanding.

Collaboration: We are better together. We actively seek the participation of others to achieve greater outcomes.

About Us

Amplity powers biopharma innovation through expert-led teams that deliver. Whether you knew us in the 80’s as Physician Detailing Inc., or in the 00’s as part of Publicis Health , the companies that came together in 2019 to form Amplity have delivered contract medical, commercial + communications excellence for 40+ years.

Our people-driven, tech-enabled DNA fuels everything we do. Our professionals understand the pharmaceutical industry from the inside out. With a deep grasp on product lifecycles, marketing hurdles, operational nuances + the complex needs of providers and patients, we help our clients launch products + operate smoothly with precision — across all business shapes, sizes + specialties.

We are on a mission to improve patient outcomes through executional excellence — enabling our partners in pharma to thrive in turn. At Amplity, we are allies in excellence. And we do it quicker, better, nicer than anyone else.

Our Diversity Policy

We encourage and support equal employment opportunities for all associates and applicants for employment without regard to sex, race, color, religion, national origin, age, disability, marital status, sexual orientation or veteran status. Employment decisions are evaluated on the basis of an individual's skills, knowledge, abilities, job performance and other qualifications. In addition, Amplity Health maintains policies and procedures designed to comply with applicable federal, state and local laws governing non-discrimination in employment in every location in which Amplity Health has facilities.