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

Amgen; United States; Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Retirement plan

Medical/dental/vision coverage

Bonus program

Flexible work options

Job summary

Amgen is seeking a Case Manager to oversee patient access, insurance approvals, and reimbursement processes in the U.S. You will coordinate with RBMs, PALs, MSLs, hubs and pharmacies to ensure timely access to therapy for patients and families.

The role emphasizes communication, problem solving, and collaboration with cross-functional teams to resolve payer challenges and support patient outcomes.

Qualifications

• Master's degree OR
• Bachelor's degree and 2 years of Case Management experience OR
• Associate's degree and 6 years of Case Management experience OR
• High school diploma / GED and 8 years of Case Management experience

Responsibilities

• Interact with RBMs, PALs and MSLs to communicate insurance approvals and reauthorizations.
• Case manage steps to gain access to therapy with patients and families.
• Report Adverse Events and product complaints through medical information.
• Maintain case history for U.S. patients across hub, pharmacy, insurance and patient support.
• Track reimbursement and shipping status of U.S. patients.

Skills

Excellent communication

Customer service

Education

Master's degree

Bachelor's degree

Associate's degree

High school diploma / GED

Tools

Excel

PowerPoint

Job description

Career Category Sales Job Description 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 [type of person] with these qualifications.

Basic Qualifications

• Master's degree OR
• Bachelor's degree and 2 years of Case Management experience Or
• Associate's degree and 6 years of Case Management experience Or
• 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

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 pro