Patient Access Liaison – Rare Disease

This is a fully remote position, open to applicants in Illinois, +9 more states.

📋 Description

• Act as a field-based specialist for patient access and reimbursement focused on infused and specialty therapies.

• Provide assistance to patients, caregivers, and healthcare providers regarding insurance benefits, prior authorization requirements, and reimbursement processes.

• Identify and address coverage inquiries, prior authorization obstacles, and denied claims.

• Deliver education on coding, billing, coverage, and financial assistance programs.

• Foster relationships with patients and caregivers through phone, virtual, and in-person interactions.

• Obtain written or electronic patient HIPAA authorization within the designated area.

• Evaluate patient needs and offer access-supporting education and resources.

• Inform physician offices, care sites, and infusion centers about coverage pathways and reimbursement processes.

• Examine access challenges before and after infusion procedures.

• Assist in reviewing denied claims and determining potential next steps.

• Elevate complex or systemic reimbursement issues to internal stakeholders.

• Collaborate with Market Access, Medical Affairs, Advocacy, Case Management, and Site of Care teams.

• Coordinate with both internal and external partners to provide suitable patient-access resources.

• Convey field insights about payer policies and reimbursement obstacles.

• Comply with company policies, compliance guidelines, and relevant federal, state, and local regulations.

• Ensure adherence to HIPAA privacy standards.

• Report adverse events and product complaints through pharmacovigilance procedures.

• Keep accurate records in Amgen’s internal system.

⛳️ Requirements

• Doctorate degree OR Master’s degree with 2 years of experience in patient services and/or access and reimbursement OR Bachelor’s degree with 4 years of experience OR Associate’s degree with 8 years of experience OR High school diploma/GED with 10 years of experience in patient services and/or access and reimbursement (Basic Qualifications - Level 5).

• Doctorate degree with 2 years of experience OR Master's degree with 4 years of experience OR Bachelor's degree with 6 years of experience in patient services and/or access and reimbursement (Basic Qualifications - Level 6).

• Experience in supporting buy-and-bill or infused pharmaceutical therapies.

• Background in rare diseases or orphan drugs.

• Clinical expertise, such as nursing or allied health.

• Knowledge of reimbursement processes including prior authorization, appeals, and management of denied claims.

• Familiarity with HIPAA regulations and FDA compliance requirements.

• Understanding of internal and OIG compliance guidelines.

• Strong analytical and problem-solving abilities.

• Exceptional written and verbal communication skills.

• Capability to manage complex patient situations and overcome access barriers.

• Experience working within cross-functional field teams.

• Proficient in Microsoft Office, CRM, AI, and relevant systems.

• Knowledge of access and reimbursement protocols.

• Understanding of prior authorization processes.

• Familiarity with healthcare reimbursement frameworks.

• Awareness of coding and billing practices.

• Knowledge of patient support programs.

• Understanding of compliance and privacy standards.

• Ability to learn quickly.

• Quality decision-making skills.

• Engagement with stakeholders effectively.

• Capacity to respond promptly to urgent access needs to avoid treatment delays or lapses.

• Ability to function effectively in matrix field environments.

• Willingness to travel up to 50%, including occasional overnight and weekend commitments.

🏝️ Benefits

• Comprehensive employee benefits package, which includes a Retirement and Savings Plan with generous company contributions.

• Group medical, dental, and vision coverage.

• Life and disability insurance.

• 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 policies.

• Bi-annual company-wide shutdowns.

• Flexible work models, including remote work arrangements where feasible.

• Opportunities for career development.

• Financial plans with options to save for retirement or other objectives.

• Work/life balance.