Case Manager - Rare Disease- KRYSTEXXA- West Coast Remote

Amgen SA; United States; Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a passionate Case Manager to join their mission-driven team. In this vital role, you'll oversee patient customer service issues, ensuring smooth insurance approvals and therapy access. You'll collaborate closely with a variety of stakeholders, including Regional Business Managers and medical offices, to triage and resolve reimbursement challenges. This role not only offers the chance to make a significant impact on patients' lives but also provides opportunities for personal and professional growth within a supportive environment. If you're committed to serving patients and ready to take your career to the next level, this is an exciting opportunity for you.

Benefits

Comprehensive Employee Benefits

Retirement and Savings Plan

Annual Bonus Program

Stock-based Long-term Incentives

Award-winning Time-off Plans

Flexible Work Models

Qualifications

• Master’s degree or Bachelor’s with 2 years of experience required.
• 5+ years in the pharmaceutical industry preferred.

Responsibilities

• Manage patient cases and insurance issues for therapy access.
• Collaborate with medical staff and report on patient status.

Skills

Communication Skills

Customer Service

Problem Solving

Case Management

HIPAA Knowledge

FDA Knowledge

Education

Master’s Degree

Bachelor’s Degree

Associate’s Degree

High School Diploma / GED

Tools

Excel

PowerPoint

Job description

HOW MIGHT YOU DEFY IMAGINATION?

You’ve worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared mission—to serve patients—drives all that we do. It is key to our becoming one of the world’s leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.

Live

What you will do

Let’s do this. Let’s change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer service issues with insurance, the specialty pharmacy, and patient support programs.

• Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison’s (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizations.
• Work closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy.
• Partner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)’s and product complaints through medical information.
• Maintain case history for all U.S. patients, entering relevant notes from the hub, the pharmacy, calls to insurance, patient support programs, physicians and nurses, and the patients and families.
• Maintain and update patient status to track reimbursement and shipping status of U.S. patients.
• Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems).
• Liaise with medical offices as necessary to obtain insurance authorizations.
• Counsel patients and family on insurance and reimbursement options.
• Identify general and specific adherence trends and suggest appropriate action.
• Report on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocks.
• Manage, track, and report on Open Enrollment efforts annually to ensure every patient has access to adequate insurance.
• Advise patients and families on insurance, financial assistance and therapeutic access programs.
• Attend patient meetings, industry conferences and sales meetings.

Win

What we expect of you

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

Basic Qualifications:

Master’s degree OR

Bachelor’s degree and 2 years of Case Management experience or related

Associate’s degree and 6 years of Case Management experience or related

High school diploma / GED and 8 years of Case Management experience

Preferred Qualifications:

• 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.

Thrive

What you can expect of us

As we work to develop treatments that take care of others, we also work to care for our teammates’ professional and personal growth and well-being.

In addition to the base salary, Amgen offers a Total Rewards Plan comprising 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 including:

• 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.

Apply now

for a career that defies imagination

Objects in your future are closer than they appear. Join us.

careers.amgen.com

Amgen anticipates accepting applications until 3/31/2025; however, we will continue accepting applications until we receive a sufficient number or select a candidate for the position.

Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

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.