Case Manager - Rare Disease- West Coast Remote

BioSpace; Phoenix (AZ); On-site; USD 70,000 - 110,000; Full time

Job summary

Amgen in Phoenix, AZ is seeking a Case Manager to oversee patient access, insurance approvals, and reimbursement processes. The role requires coordinating with RBMs, PALs, MSLs, and care teams to ensure timely access to therapies.

The ideal candidate will have 5+ years in case management within the pharmaceutical sector, excellent communication skills, and strong knowledge of HIPAA and FDA regulations. Occasional travel may be required, with a focus on patient-centric service.

Qualifications

• Must have a bachelor-level degree or higher with case management experience.
• Experience in insurance approvals, reauthorizations, and patient access is preferred.
• Strong communication, organizational and problem-solving skills are essential.

Responsibilities

• Oversee insurance approvals, reauthorizations and reimbursement processes daily.
• Collaborate with RBMs, PALs, MSLs to communicate case status and approvals.
• Maintain case histories from hub, pharmacy, insurers, and care teams.
• Counsel patients on insurance options and financial assistance programs.
• Identify reimbursement trends and report weekly status changes.
• Coordinate enrollment efforts to ensure patient access to therapy.
• Report adverse events and product complaints via medical information channels.

Skills

Communication skills

Customer service

HIPAA knowledge

FDA familiarity

Time zone coordination

Case management experience

Multi-tasking

Time management

Pharmaceutical industry awareness

Education

Masters degree

Bachelors degree + 2 years Case Management

Associates degree + 6 years Case Management

High school diploma / GED + 8 years Case Management

Tools

Excel

PowerPoint

Job description

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 Qualifications

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

Amgen anticipates accepting until 9/30/2026 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.