Jobs · Idaho

Patient Access Liaison - TEPEZZA - Boise ID/MT

BioSpace · Boise, ID · 1 mo ago
$158k–$186k/yrFull-time
Join Amgens Mission of Serving Patients At Amgen, if you feel likeyourepart of something bigger,itsbecause you are. Our shared missionto serve patients living with serious illnessesdrives all that we do. Since 1980,wevehelped pioneer the world of biotech in our fight against the worlds toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reachthousandsof patients each year. As a member of the Amgen team,youllhelp 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, andscience-based. If you have a passion for solving complex challenges and driving meaningful impact for patients,youllthrive as part of the Amgen team. HOW MIGHT YOU DEFY IMAGINATION? At Amgen, our shared missionto serve patientsdrives all that we do. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reach millions of patients worldwide.Itstime for a career you can be proud of. Live What Youwill Do Letsdo this.Letschange 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 Amgens internal system. Win What We Expect Of You Basic Qualifications- Level 5 Doctorate degree OR Masters degree and2years of patient services and/or access and reimbursement experience OR Bachelors degree and4years of patient services and/or access and reimbursement experience OR Associates degree and8yearsof patient services and/or access and reimbursement experience OR High school diploma / GED and 10years ofpatient services and/or access and reimbursement experience Basic Qualifications - 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 supportingbuy-and-bill or infused pharmaceutical therapiesRare disease or orphan drug experienceClinical background such as nursing or allied healthUnderstanding of reimbursement processes including prior authorization, appeals, and denied claims managementKnowledge of HIPAA guidelines and FDA regulatory requirementsFamiliarity with internal and OIG compliance guidelinesStrong analytical and problem-solving skillsExcellent written and verbal communication skillsAbility to manage complex patient situations and resolve access barriersExperience working in cross-functional field teamsProficiencyin Microsoft Office, CRM,AIand relevant systemsAccess and reimbursement knowledgePrior authorization processesHealthcare reimbursement systemsCoding and billing awarenessPatient support program knowledgeCompliance and privacy requirementsLearning agilityDecision qualityStakeholder engagementAbility to respond rapidly to urgent access needs to preventtreatment delays or lapsesAbility tooperateeffectively inmatrix field environmentsTravel up to50%, 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 planStock-based long-term incentivesAward-winning time-off plans and bi-annual company-wide shutdownsFlexible work models, including remote work arrangements, where possible Apply now for a career that defies imagination Objects in your future are closer than they appear. Join us. careers.amgen.com Application deadline Amgen's application deadline is 10/21; we will continue accepting applications until we receive a sufficient number or select a candidate for the position. 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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