Patient Access Liaison - TEPEZZA - Virginia Beach, VA

Amgen

Virginia Beach (VA)

On-site

USD 158,000 - 222,000

Full time

2 days ago
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Benefits offered by this job

Retirement plan
Stock incentives
Flexible work models

Job summary

Amgen is seeking a Patient Access Liaison in Virginia Beach to support patient access and reimbursement for infused therapies. The PAL will collaborate with Market Access, Medical Affairs, Advocacy, and care sites to ensure timely access and educate stakeholders on coverage pathways.

The role involves educating patients and providers on prior authorization, coding, and billing, while addressing access barriers and navigating payer requirements in a field-based setting.

Qualifications

  • Level 5 or Level 6 minimum qualifications as listed in the posting.
  • Travel up to 50% including overnight and weekend commitments.
  • Experience in patient services and/or access and reimbursement preferred.

Responsibilities

  • Provide patient access and reimbursement support for infused and specialty therapies.
  • Educate patients, caregivers, and providers on coverage and prior authorization requirements.
  • Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes.
  • Support resolution of access barriers and denied claims with internal teams.

Skills

Field-based
Patient access
Reimbursement
HIPAA compliance
Travel up to 50%
Cross-functional collaboration

Education

Doctorate degree
Master’s degree
Bachelor’s degree
Associate’s degree

Tools

CRM systems
Microsoft Office
AI tools / relevant systems

Job description

What We Expect Of You
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, 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.
Win
What We Expect Of You
Basic Qualifications
  • Level 5
    • Doctorate degree
    • OR
    • Master’s degree and 2 years of patient services and/or access and reimbursement experience
    • OR
    • Bachelor’s degree and 4 years of patient services and/or access and reimbursement experience
    • OR
    • Associate’s degree and 8 years of patient services and/or access and reimbursement experience
    • OR
    • High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
  • Level 6
    • Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
    • OR
    • Master's degree and 4 years of patient services, and/or access and reimbursement, experience
    • OR
    • Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience
Preferred Qualifications
  • Experience supporting buy-and-bill or infused pharmaceutical therapies
  • Rare disease or orphan drug experience
  • Clinical background such as nursing or allied health
  • Understanding of reimbursement processes including prior authorization, appeals, and denied claims management
  • Knowledge of HIPAA guidelines and FDA regulatory requirements
  • Familiarity with internal and OIG compliance guidelines
  • Strong analytical and problem-solving skills
  • Excellent written and verbal communication skills
  • Ability to manage complex patient situations and resolve access barriers
  • Experience working in cross-functional field teams
  • Proficiency in Microsoft Office, CRM, AI and relevant systems
  • Access and reimbursement knowledge
  • Prior authorization processes
  • Healthcare reimbursement systems
  • Coding and billing awareness
  • Patient support program knowledge
  • Compliance and privacy requirements
  • Learning agility
  • Decision quality
  • Stakeholder engagement
  • Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses
  • Ability to operate effectively in matrix field environments
  • Travel up to 50%, including occasional overnight and weekend commitments
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.

The annual base salary range is from $158,394 -$185,578 for Level 5 , $164,276 - $ 222,256 for Level 6. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications.

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 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.

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