Case Manager - Rare Disease- West Coast Remote

Amgen SA; Phoenix (AZ); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible work models

Discretionary annual bonus

Stock-based long-term incentives

Time-off plans

Job summary

Amgen is seeking a Case Manager to oversee day-to-day insurance approvals, patient access and reimbursement processes. You will coordinate with RBMs, PALs, hub teams and MSLs to ensure accurate communication on therapy access and status.

You will triage reimbursement challenges, document patient histories, and liaise with physicians to obtain authorizations while supporting patients through financial options and therapy access programs.

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

• Daily interaction with RBMs, PALs and MSLs to ensure communication on insurance approvals and reauthorizations.
• Case manage all steps required 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, patient support programs, physicians and nurses.
• Triage and resolve reimbursement issues including denials, appeals and reauthorizations.
• Liaise with medical offices to obtain insurance authorizations and counsel patients on options.

Skills

Communication skills

Customer service

Excel

PowerPoint

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 hasaccess to adequate insurance




• Advise patients and families on insurance, financial assistance and therapeutic accessprograms




• 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 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 benefits and privileges of employment. Please contact us to request accommodation.