Patient Access Liaison- TEPEZZA- Cincinnati, OH

2006 Horizon Therapeutics Services LLC; Columbus (OH); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Amgen Inc. in Columbus, OH is seeking a Patient Access Liaison (PAL) to support patients, caregivers, and providers in navigating insurance coverage and reimbursement pathways for Amgen therapies.

The PAL will address prior authorization barriers, provide education about coverage and financial assistance, and work with internal teams to ensure timely access to treatment. The role requires independence in managing patient cases, collaboration across Health Care, Market Access, Medical Affairs,

Qualifications

• Experience in field-based patient access and reimbursement.
• Knowledge of insurance coverage, prior authorization processes, and reimbursement programs.
• Familiarity with coding and billing considerations related to therapy access.

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 and prior authorization requirements.
• Educate patients on coverage considerations and access to financial assistance programs.
• Educate physician offices and sites of care on therapy coverage pathways and billing practices.
• Investigate access challenges and assist with denied claims or next steps.
• Collaborate with Market Access, Medical Affairs, Advocacy, Case Management, and Site of Care teams to support patient access.

Skills

Patient access

Reimbursement knowledge

HIPAA compliance

Education & engagement

Cross-functional collaboration

Education

Doctorate degree

Master’s degree

Bachelor’s degree

Associate’s degree

Job description

Career Category Corporate Services Job Description Join Amgen’s Mission of Serving Patients At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four therapeutic areas – Oncology, Inflammation, General Medicine, and Rare Disease – we reach thousands of patients each year. As a member of the Amgen team, you’ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller, happier lives. Our award-winning culture is collaborative, innovative, and science-based. If you have a passion for solving complex challenges and driving meaningful impact for patients, you’ll thrive as part of the Amgen team. HOW MIGHT YOU DEFY IMAGINATION? At Amgen, our shared mission—to serve patients—drives all that we do. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reach millions of patients worldwide. It’s time for a career you can be proud of. Live What you will do Let’s do this. Let’s change the world.

ThePatient 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. ThePAL 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 ensuringtimelyand sustained access to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financialassistanceprograms. Working within a collaborative field environment, thePALpartners with internalteams including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to supportthe patient journey. The roleoperateswith independence in managing assigned patient cases and contributesfieldinsights 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. Assistpatients, 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 educationregardingcoding 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 stepsrequiredto obtain prior authorization. Provide informationregardingco-payassistanceprograms, national foundations, and free drug programs whenappropriate.
• Provider and Site-of-Care Education Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes. Provide informationregardingcommon 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 andidentifyingpotential next steps. Escalate complex or systemic reimbursement issues toappropriate internalstakeholders.
• 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 ensureappropriate resourcesare available to support patient access. Share field insightsregardingpayer policies and reimbursement challenges.
• Compliance, Safety, and Operational Excellence Adhereto company policies, compliance guidance, andapplicable tofederal, 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. Maintainaccuratedocumentation of activities and interactionsin Amgen’s internal system.

Win What we expect of you

• BasicQualifications-Level5DoctoratedegreeORMaster’sdegreeand2yearsofpatientservicesand/oraccessandreimbursementexperienceORBachelor’sdegreeand4yearsofpatientservicesand/oraccessandreimbursementexperienceORAssociate’sdegreeand