Case Manager/PAP

Amgen Inc. (IR); Jacksonville (FL); Hybrid; USD 80,000 - 109,000; Full time

Benefits offered by this job

Retirement and Savings Plan

Group medical, dental, vision coverage

Flexible work models (remote/Hybrid)

Job summary

Amgen is seeking a case manager within Patient Access to transform patient support and enable faster access to therapies. You will interact with patients, HCPs, and insurers to verify benefits, resolve prior authorizations and navigate reimbursement processes.

You will contribute to data integrity and SOP adherence while supporting cross-functional teams and continuous improvement initiatives. The role offers opportunities to work in a dynamic, collaborative environment with a focus on patient

Qualifications

• Master’s degree or equivalent in health care/customer service; relevant experience acceptable.
• Experience working in AS+ or Tezspire Together HUB or similar programs.
• Experience in regulatory environments and with payor communications.
• Strong communication, collaboration, and problem-solving capabilities.

Responsibilities

• Verify benefits for each patient and assist with copay, prior authorization and reimbursement issues.
• Handle inbound and outbound calls from HCPs and patients and enter data into the system.
• Compile and analyze reimbursement trend data to support continuous improvement.
• Work with commercial and government payors to facilitate access to therapies.
• Interact with pharmacies to expedite a positive patient experience.

Skills

Customer service

Regulatory environment

Communication skills

Problem-solving

Education

Master’s degree

Bachelor’s degree + 2 years CS

Associate’s + 6 years CS

High school diploma + 8 years CS

Tools

MS Office

Job description

Career Category Corporate Services Job Description

Join Amgen’s Mission of Serving Patients At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s 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, you’ll 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, you’ll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.

What you will do

Join an incredible team that’s redefining Amgen’s 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 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 (SOP’s). Let’s do this. Let’s 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 HCP’s 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

• Basic Qualifications: Master’s degree OR Bachelor’s degree and 2 years of Customer Service/Call Center experience OR Associate’s degree and 6 years of Customer Service/Call Center experience OR High school diploma / GED and 8 years of Customer Service/Call Center experience Minimum of 6 months of experience working for AS+ or Tezspire Together HUB.
• Preferred Qualifications: 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

As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we’ll 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. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include:

• 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

Salary Range

80,444.00USD -108,836.00 USD

Company Information

Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology. Amgen focuses on areas of high unmet medical need and leverages its biologics manufacturing expertise to strive for solutions that improve health outcomes and dramatically improve people’s lives. A biotechnology pioneer since 1980, Amgen has grown to be one of the world’s leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline of medicines with breakaway potential. For more information, visit www.amgen.com and follow us on www.twitter.com/amgen

Application Deadline

Application deadline Amgen anticipates accepting applications until 10/30/2026 however, we may continue accepting applications beyond this date if we do not receive a sufficient number of candidates.

Equal Opportunity Employer

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.