Patient Access Liaison – Rare Disease

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🐊 Florida, New York, +4 more states – Remote

🐊 Florida – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote ⚔️ Virginia – Remote

💵 $158.4k - $222.3k / year

⏰ Full Time

🟠 Senior

🔴 Lead

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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

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

🎯 Requirements

• 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 • Prior authorization processes • Healthcare reimbursement systems • Coding and billing awareness • Patient support program knowledge • Compliance and privacy requirements • Learning agility • Decision quality • Stakeholder engagement • Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses • Ability to operate effectively in matrix field environments • Travel up to 50%, including occasional overnight and weekend commitments

🏖️ Benefits

• Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions • Group medical, dental and vision coverage • Life and disability insurance • 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 • Bi-annual company-wide shutdowns • Flexible work models, including remote work arrangements, where possible • Career development opportunities