Virtual Remote Reimbursement Manager - MST

Amplity Health•Salt Lake City, UT

1d•$145,000 - $150,000•Remote

About The Position

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.

Requirements

Bachelor’s degree from an accredited institution required
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
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.

Nice To Haves

A degree with a focus in healthcare administration, business, or a related field advantageous.

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.