Field-Based Patient Access & Reimbursement Specialist

Amgen Inc.; West Palm Beach (FL); Hybrid; USD 158,000 - 186,000; Full time

Benefits offered by this job

Total Rewards Plan

Annual bonus

Stock incentives

Flexible work models

Remote work options

Job summary

Amgen Inc. in Florida seeks a Patient Access Liaison (PAL) to support patients, caregivers, and healthcare providers in navigating insurance coverage and reimbursement for Amgen therapies.

This field-based role collaborates with Market Access, Medical Affairs, Advocacy, and Case Management to ensure timely access to therapies across assigned geographies. You will educate stakeholders on coverage pathways, prior authorization requirements, and patient assistance programs while building

Qualifications

• Doctorate degree required, or Master’s with 2 years of patient services/access experience.
• Bachelor’s with 4 years of patient services/access experience.
• Associate’s with 8 years of patient services/access experience.
• High school diploma/GED and 10 years of patient services/access experience.
• Preferred: experience supporting buy-and-bill or infused therapies.
• Preferred: rare disease or orphan drug experience.

Responsibilities

• Serve as a resource on patient access and reimbursement for infused and specialty therapies.
• Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes.
• Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims.
• Provide education regarding coding and billing considerations relevant to therapy access.
• Develop relationships with patients and caregivers through phone, virtual, and in-person engagement.
• Secure written or electronic patient HIPAA authorization within assigned geography.
• Assess individual patient needs and provide education and resources that support access to therapy.
• Educate patients on coverage considerations and the steps required to obtain prior authorization.
• Provide information regarding copay assistance programs, national foundations, and free drug programs when appropriate.
• Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes.
• Provide information regarding common prior authorization requirements, coding considerations, and billing practices.
• Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases.
• Investigate patient access challenges before and after infusion.
• Support physician offices and sites of care in reviewing denied claims and identifying potential next steps.
• Escalate complex or systemic reimbursement issues to appropriate internal stakeholders.
• Partner with internal stakeholders including Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams to support patient access initiatives.
• Coordinate with internal and external partners to ensure appropriate resources are available to support patient access.
• Share field insights regarding payer policies and reimbursement challenges.
• Adhere to company policies, compliance guidance, and applicable to federal, state, and local regulations.
• Ensure activities align with HIPAA privacy requirements and internal compliance guidelines.
• Report adverse events and product complaints through established pharmacovigilance processes.
• Maintain accurate documentation of activities and interactions in Amgen’s internal system.

Skills

Analytical skills

Problem-solving

Communication skills

Microsoft Office

Education

Doctorate degree

Master’s degree

Bachelor’s degree

Associate’s degree

Tools

CRM systems

Microsoft Office

AI tools

Job description

Amgen Inc. in Florida seeks a Patient Access Liaison (PAL) to support patients, caregivers, and healthcare providers in navigating insurance coverage and reimbursement for Amgen therapies.

This field-based role collaborates with Market Access, Medical Affairs, Advocacy, and Case Management to ensure timely access to therapies across assigned geographies. You will educate stakeholders on coverage pathways, prior authorization requirements, and patient assistance programs while building