Case Manager - Rare Disease- TEPEZZA - Central US- Remote

BioSpace; Memphis (TN); Remoto; USD 65.000 - 90.000; Tempo pieno

Vantaggi offerti da questo lavoro

Retirement plan

Medical coverage

Bonus program

Flexible work

Descrizione del lavoro

Amgen is seeking a Case Manager to support patient access and reimbursement across the United States. You will coordinate with RBMs, PALs, and MSLs to manage insurance authorizations, denials, and reauthorizations, while counseling patients on insurance options and financial assistance.

The role involves tracking open enrollment, communicating trends, and collaborating with pharmacy and medical teams to ensure timely access to therapy.

Competenze

• Master's degree or equivalent combination with case management experience.
• 2+ years case management experience
• Associates degree with 6 years case management experience or higher

Mansioni

• Daily coordination with RBMs, PALs and MSLs to ensure accurate communication on insurance approvals and reauthorizations.
• Work with RBMs, PALs, hub, pharmacy, and patient/family to case manage steps to access therapy.
• Counsel patients on insurance and reimbursement options and track reimbursement status for US patients.
• Maintain case histories with notes from hub, pharmacy, insurance calls, patient support programs, physicians, nurses, and families.
• Identify reimbursement trends and report on weekly changes in patient status and adjudication status.

Conoscenze

Communication skills

Customer service

Multitasking

Time management

Formazione

Master's degree

Bachelor's degree

Associate degree

High school diploma

Descrizione del lavoro

Job Description

HOW MIGHT YOU DEFY IMAGINATION?

Youve 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 missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds 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

Lets do this. Lets 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 Liaisons (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 specic 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, nancial 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 [type of person] with these qualications.

Basic Qualications

• Masters degree OR
• Bachelors degree and 2 years of Case Management experience Or
• Associates degree and 6 years of Case Management experience Or
• High school diploma / GED and 8 years of Case Management experience

Preferred Qualifications

• Bachelors 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, Nancial Plans With Opportunities To Save Towards Retirement Or Other Goals, Work/life Balance, And Career Development Opportunities Including

• Comprehensive employee benets package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and exible spending accounts.
• A discretionary annual bonus program, or for eld 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

careers.amgen.com

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

Amgen anticipates accepting until 11/15/2026 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 benets and privileges of employment. Please contact us to request accommodation.