Case Manager – Rare Disease

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $81.9k - $110.7k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Amgen

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1980

🏥 Healthcare

🧬 Biotechnology

💊 Pharmaceuticals

💰 $28.5G Post-IPO Debt on 2022-12

Healthcare • Biotechnology • Pharmaceuticals

Amgen is a global leader in biotechnology, focusing on the development and commercialization of innovative medicines made from living cells. The company aims to treat serious illnesses, often targeting diseases with limited therapeutic options. Amgen emphasizes scientific innovation and is committed to ethical research, patient safety, and environmental sustainability. It actively engages in clinical trials and is known for its contributions to the fields of cancer treatment and obesity management among others.

📋 Description

• Oversee and maintain awareness of patient customer service issues involving insurance, specialty pharmacy, and patient support programs • Interact daily with Regional Business Managers, Patient Access Liaisons, and Medical Science Liaisons regarding insurance approvals and reauthorizations • Case manage all steps required to gain patient access to therapy in collaboration with RBMs, PALs, the hub, pharmacy, and patients/families • Partner with Safety and Pharmacovigilance; report adverse events and product complaints through medical information • Maintain case histories for all U.S. patients, including relevant notes from hubs, pharmacies, insurers, support programs, medical offices, nurses, patients, and families • Maintain and update patient status to track reimbursement and shipping status • Triage, troubleshoot, and resolve reimbursement issues, including prior authorizations, denials, appeals, reauthorizations, overrides, and billing problems • Liaise with medical offices to obtain insurance authorizations • Counsel patients and families on insurance and reimbursement options • Identify adherence trends and suggest appropriate action • Report weekly changes in patient status, adjudication status, reimbursement trends, successes, and roadblocks • Manage, track, and report on annual Open Enrollment efforts • Advise patients and families on insurance, financial assistance, and therapeutic access programs • Attend patient meetings, industry conferences, and sales meetings

🎯 Requirements

• Master’s degree OR Bachelor’s degree and 2 years of Case Management experience OR Associate’s degree and 6 years of Case Management experience OR High school diploma / GED and 8 years of Case Management experience • Bachelor’s Degree strongly preferred • 5+ years of experience in the pharmaceutical industry • 2+ years prior experience as a Case Manager • Excellent communication skills and commitment to customer service • Ability to effectively resolve hurdles across multiple cases at the same time • Ability to learn product and disease information • Familiarity with HIPAA and FDA • Ability to manage communication with case managers and sales reps across multiple geographies and time zones • Excel and PowerPoint skills required • Up to 20% travel required

🏖️ Benefits

• Comprehensive employee benefits package • 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 • Bi-annual company-wide shutdowns • Flexible work models, including remote work arrangements, where possible • Career development opportunities • Work/life balance