Patient Access Liaison- TEPEZZA- Cincinnati, OH

Amgen; United States; In loco; USD 70.000 - 110.000; Tempo pieno

Descrizione del lavoro

Amgen's Patient Access Liaison (PAL) is a field-based specialist who guides patients, caregivers, and healthcare providers through insurance coverage and reimbursement pathways for Amgen therapies.

You will collaborate with Market Access, Medical Affairs, Advocacy, Case Management, and Site of Care teams to resolve access barriers, educate on coverage, and ensure timely access to therapy while maintaining HIPAA compliance and internal guidelines.

Competenze

• Doctorate degree.
• Master's degree and 2 years of patient services and/or access experience.

Mansioni

• 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.

Formazione

Doctorate degree

Master's degree

Descrizione del lavoro

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.

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…

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.

Win

What we expect of you

Basic Qualifications - Level 5

• Doctorate degree
• OR
• Master's degree and 2 years of patient services and/or ac