Patient Access Liaison Manager - Ocala FL

VetJobs; Ocala (FL); Sur place; USD 60 000 - 100 000; Plein temps

Résumé du poste

Amgen is seeking 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 focuses on payer requirements, prior authorization, and access education, ensuring timely therapy access.

In collaboration with Market Access, Medical Affairs, Advocacy, and Case Management, you will manage patient cases independently, resolve access barriers, and share insights to inform broader

Qualifications

• Master's degree required.
• Experience educating patients and providers on coverage and reimbursement.

Responsabilités

• Serve as resource on patient access and reimbursement for infused therapies.
• Assist patients and providers with insurance benefits, prior authorization, and reimbursement processes.
• Educate providers on therapy coverage pathways and billing practices.
• Support access issues from authorization through post-infusion.
• Collaborate with Market Access, Medical Affairs, Advocacy, Case Management, and Sites of Care.

Connaissances

Patient access navigation

Prior authorization handling

HIPAA compliance

Communication skills

Formation

Master's degree

Outils

EMR/EHR systems

Billing/Coding software

Description du poste

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS

Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers.

Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.

Let’s do this.

Let’s change the world.

The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.

The PAL serves as a key resource in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role focuses on ensuring timely and sustained access to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financial assistance programs.

Working within a collaborative field environment, the PAL partners with internal teams including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to support the patient journey. The role operates with independence in managing assigned patient cases and contributes field insights that inform broader access strategies.

Key Responsibilities

Patient Access and Reimbursement Support

• 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.

Patient and Caregiver Engagement

• 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 co-pay assistance programs, national foundations, and free drug programs when appropriate.

Provider and Site-of-Care Education

• 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.

Access Issue Resolution

• 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.

Cross-Functional Collaboration

• 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.

Compliance, Safety, and Operational Excellence

• 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.

Salary Range: $100,000

Minimum Education Required: Masters

City: Ocala

State: Florida