Remote Case Manager — Patient Access & Reimbursement

Biopharma Careers

Phoenix (AZ)

Hybrid

USD 82,000 - 111,000

Full time

9 days ago

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Job summary

Amgen in Phoenix, AZ is seeking a Case Manager to oversee patient access and reimbursement processes, coordinating with regional teams to secure insurance approvals and reauthorizations.

You will maintain case histories, track status, troubleshoot denials, and counsel patients on insurance options, while partnering with safety, pharmacy, and medical staff.

The role supports open enrollment events, with travel up to 20%, and a comprehensive benefits package offering growth opportunities.

Qualifications

  • Masters or equivalent in a health-related field or case management.
  • Bachelor’s with 2+ years CM experience or equivalent.
  • Associate’s with 6+ years CM experience or equivalent.
  • High school diploma with 8+ years CM experience or equivalent.

Responsibilities

  • Oversee day-to-day patient access case management with insurance and reauthorizations.
  • Collaborate with RBMs, PALs and MSLs to communicate on insurance status.
  • Coordinate with hub, pharmacy and patient/family to gain therapy access.
  • Report adverse events and product complaints to Safety/PV.
  • Maintain comprehensive case histories and track reimbursement status.
  • Triage and resolve reimbursement issues including denials and appeals.
  • Advise physicians and patients on insurance and financial options.
  • Attend patient meetings and industry events.

Skills

Communication skills
Customer service
HIPAA FDA familiarity
Travel up to 20%

Education

Master’s degree
Bachelor’s degree + 2 years CM experience
Associate’s degree + 6 years CM experience
High school diploma / GED + 8 years CM experience

Tools

Excel
PowerPoint

Job description

Amgen in Phoenix, AZ is seeking a Case Manager to oversee patient access and reimbursement processes, coordinating with regional teams to secure insurance approvals and reauthorizations.

You will maintain case histories, track status, troubleshoot denials, and counsel patients on insurance options, while partnering with safety, pharmacy, and medical staff.

The role supports open enrollment events, with travel up to 20%, and a comprehensive benefits package offering growth opportunities.

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