Amgen Case Manager/PAP

BioSpace; Tampa (FL); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Amgen is seeking a Case Manager to join the Patient Access team, supporting access to progressive therapies and facilitating reimbursement for patients. The role interfaces with patients, HCP offices and insurers to remove barriers and speed therapy initiation.

You will engage with health care professionals, understand SOPs, and contribute to data integrity while supporting a dynamic, launch-brand patient support program.

Qualifications

• Masters degree required
• Bachelors degree and 2 years of Customer Service/Call Center experience
• Associates degree and 6 years of Customer Service/Call Center experience
• High school diploma / GED and 8 years of Customer Service/Call Center experience

Responsibilities

• Understand and adhere to government regulations and company policies
• Verify benefits for each patient and assist with copay, prior authorization and reimbursement issues
• Maintain positive rapport
• Handle inbound and outbound calls from HCPs and patients and enter all appropriate data into the system
• Compile and analyze data regarding reimbursement trends to assist with continuous improvement efforts
• Work with both commercial and government payors
• Interact with pharmacies to expedite a positive patient experience

Skills

Customer Service

Call Center

Regulatory environment

MS Office

Pharmacy operations

ICD-9/ICD-10 understanding

Education

Masters degree

Bachelors degree and 2 years of Customer Service/Call Center experience

Associates degree and 6 years of Customer Service/Call Center experience

High school diploma / GED and 8 years of Customer Service/Call Center experience

Tools

MS Office

Job description

Basic Qualifications

Masters degree

Join Amgens Mission of Serving Patients At Amgen, if you feel like youre part of something bigger, its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do. Since 1980, weve helped pioneer the world of biotech in our fight against the worlds toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach millions of patients each year. As a member of the Amgen team, youll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, youll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.

Amgen Case Manager/PAP - Amgen Support +

What You Will Do

Join an incredible team thats redefining Amgens patient support programs. In this vital role, you will be handling industry leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program. Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and meaningful careers through exciting assignments, career development, and valuable opportunities! The case manager assists in enabling access to progressive therapies that improve the health and well-being of individuals with treatable diseases. You will interface closely with patients, HCP offices, and insurance companies to remove barriers and enable patients to begin therapy faster. This will frequently involve in engaging directly with health care professionals to establish options for financial assistance / reimbursement by navigating complex benefit programs in an increasingly complicated payor landscape. Of utmost importance are: (a) the need to engage empathetically with partners and stakeholders (b), attention to detail and the ability to ensure a high quality of data integrity when interacting with supporting technologies, and (c) a self-starting demeanor and desire to problem solve by leveraging lessons learned and best practices. In depth training will be provided to arm you with the skills that will make you successful in this role. Looking for individuals who can learn and follow standard operating procedures (SOPs).

Lets do this. Lets change the world. In this vital role you will provide support to patients and partner with HCP and insurance companies to transform Patient Access.

• Understand and adhere to government regulations and company policies
• Verify benefits for each patient and assist with copay, prior authorization and reimbursement issues
• Maintain positive rapport
• Handle inbound and outbound calls from HCPs and patients and enter all appropriate data into the system
• Compile and analyze data regarding reimbursement trends to assist with continuous improvement efforts
• Work with both commercial and government payors
• Interact with pharmacies to expedite a positive patient experience

What we expect of you

We are all different, yet we all use our unique contributions to serve patients. The transformational professional we seek is an advocate with these qualifications.

Basic Qualifications

• Masters degree
• Bachelors degree and 2 years of Customer Service/Call Center experience
• Associates degree and 6 years of Customer Service/Call Center experience
• High school diploma / GED and 8 years of Customer Service/Call Center experience

Preferred Qualifications

• Current HUB customer representative experience preferred
• Proven experience working in a regulatory environment and experience with timely adverse event reporting
• Proven experience working with both commercial and government payors
• Experience with interacting with pharmacies to expedite a positive patient experience
• Strong communication skills and a collaborative spirit to build relationships
• Possess a strong can do attitude and demonstrated follow through and problem-solving skills
• Attention to detail and ability to prioritize work
• Able to remain agile with multiple plan designs and call types
• General knowledge of accounting principles, pharmacy operations and medical claims.
• Understanding of claims coding (ICD-9 and ICD-10) is preferred
• Proven experience with MS Office products
• Ability to identify trends or gaps with people, processes and/or systems
• High School Diploma or GED required and at least two years of related experience (health care administration, medical coding and billing, customer service, direct benefits verification support, etc.)

What you can expect of us

From our competitive benefits to our collaborative culture, well support your journey every step of the way.

The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications.

• A 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
• Flexible work models, including remote and hybrid work arrangements, where possible

Application deadline Amgen anticipates accepting applications until 8/30 however, we may continue accepting applications beyond this date if we do not receive a sufficient number of candidates.

As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease. Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.