Patient Access Liaison, Manager – Rare Disease

🕒 il y a 16 jours

🐊 Florida – Distant

🐊 Florida – Remote

💵 $158 394 - $222 256 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

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Amgen

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1980

🏥 Santé

🧬 Biotechnologie

💊 Pharmaceutique

💰 €28 500 000 000 Post-IPO Debt en 2022-12

Healthcare • Biotechnology • Pharmaceuticals

Amgen est un leader mondial de la biotechnologie, se concentrant sur le développement et la commercialisation de médicaments innovants issus de cellules vivantes. L'entreprise vise à traiter des maladies graves, ciblant souvent des affections avec peu d'options thérapeutiques. Amgen met l'accent sur l'innovation scientifique et s'engage dans la recherche éthique, la sécurité des patients et le développement durable. Elle participe activement aux essais cliniques et est reconnue pour ses contributions dans les domaines du traitement du cancer et de la gestion de l'obésité, entre autres.

Description

• Support patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies • Explain payer requirements, prior authorization processes, reimbursement considerations, and patient support resources • Address reimbursement barriers and educate patients and providers on coverage and financial assistance programs • Partner with Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams • Serve as a resource on patient access and reimbursement for infused and specialty therapies • Assist with insurance benefits, prior authorization requirements, and reimbursement processes • Identify and resolve coverage questions, prior authorization barriers, and denied claims • Provide education on coding and billing considerations • Develop relationships with patients and caregivers through phone, virtual, and in-person engagement • Secure written or electronic HIPAA authorization within the assigned geography • Assess patient needs and provide education and access resources • Provide information on co-pay assistance, national foundations, and free drug programs • Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes • Investigate patient access challenges before and after infusion • Review denied claims and identify potential next steps • Escalate complex or systemic reimbursement issues to internal stakeholders • Coordinate with internal and external partners to ensure appropriate resources are available • Share field insights regarding payer policies and reimbursement challenges • Adhere to company policies, compliance guidance, and federal, state, and local regulations • Ensure compliance with HIPAA privacy requirements • Report adverse events and product complaints through pharmacovigilance processes • Maintain accurate documentation in Amgen’s internal system

🎯 Exigences

• Doctorate degree; OR Master’s degree and 2 years of patient services and/or access and reimbursement experience; OR Bachelor’s degree and 4 years of patient services and/or access and reimbursement experience; OR Associate’s degree and 8 years of patient services and/or access and reimbursement experience; OR High school diploma/GED and 10 years of patient services and/or access and reimbursement experience (Level 5) • Doctorate degree and 2 years of patient services and/or access and reimbursement experience; OR Master’s degree and 4 years of patient services and/or access and reimbursement experience; OR Bachelor’s degree and 6 years of patient services and/or access and reimbursement experience (Level 6) • Experience supporting buy-and-bill or infused pharmaceutical therapies • Rare disease or orphan drug experience • Clinical background such as nursing or allied health • Understanding of reimbursement processes, including prior authorization, appeals, and denied claims management • Knowledge of HIPAA guidelines and FDA regulatory requirements • Familiarity with internal and OIG compliance guidelines • Strong analytical and problem-solving skills • Excellent written and verbal communication skills • Ability to manage complex patient situations and resolve access barriers • Experience working in cross-functional field teams • Proficiency in Microsoft Office, CRM, AI, and relevant systems • Access and reimbursement knowledge • Knowledge of prior authorization processes, healthcare reimbursement systems, coding and billing, and patient support programs • Compliance and privacy requirements • Ability to respond rapidly to urgent access needs • Ability to operate effectively in matrix field environments • Travel up to 50%, including occasional overnight and weekend commitments

🏖️ Avantages

• 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 plan • Stock-based long-term incentives • Award-winning time-off plans and bi-annual company-wide shutdowns • Flexible work models, including remote work arrangements, where possible • Career development opportunities • Financial plans with opportunities to save towards retirement or other goals • Work/life balance