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Amgen

Makes biotech medicines for serious illnesses

Patient Access Liaison - Uplizna

Clinical Support & Patient AdministrationPosted on Nov 6
Full-timeSeattle, WA, USA$158.4k - $222.3k /yrIn-person

About the Job

Requirements

  • A doctorate degree, or a master's degree and 2 years of patient services and/or access and reimbursement experience, or a bachelor's degree and 4 years of this experience, or an associate's degree and 8 years of this experience, or a high school diploma or GED and 10 years of this experience, for Level 5.
  • For Level 6, a doctorate degree and 2 years of patient services and/or access and reimbursement experience, or a master's degree and 4 years of this experience, or a bachelor's degree and 6 years of this experience.
  • Ability to support patient access and reimbursement for infused and specialty therapies.
  • Ability to navigate insurance benefits, prior authorization requirements, and reimbursement processes.
  • Ability to assess patient needs and provide education and resources supporting therapy access.
  • Ability to educate patients and providers on coverage, prior authorization, coding, billing, and financial assistance programs.
  • Ability to secure written or electronic patient HIPAA authorization within assigned geography.
  • Knowledge of HIPAA privacy requirements and company compliance guidance.
  • Ability to report adverse events and product complaints through established pharmacovigilance processes.
  • Ability to maintain accurate activity and interaction documentation in the company's internal system.

Responsibilities

  • 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 identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims.
  • Provide education on coding and billing considerations relevant to therapy access.
  • 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 about co-pay assistance programs, national foundations, and free drug programs when appropriate.
  • Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes.
  • Provide information about common prior authorization requirements, coding considerations, and billing practices.
  • Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases.
  • 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.
  • 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.
  • Adhere to company policies, compliance guidance, and applicable 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 the company's internal system.

Desired Qualifications

  • Experience supporting buy-and-bill or infused pharmaceutical therapies.
  • Rare disease or orphan drug experience.
  • A 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.
  • Proficiency in Microsoft Office, CRM, AI, and relevant systems.
  • Knowledge of access and reimbursement, prior authorization processes, healthcare reimbursement systems, coding and billing, patient support programs, and compliance and privacy requirements.
  • Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses.
  • Ability to operate effectively in matrix field environments.
  • Willingness and ability to travel up to 50%, including occasional overnight and weekend commitments.

About the Company

Amgen

Makes biotech medicines for serious illnesses

Amgen develops and makes biologic medicines, which are drugs built from proteins and antibodies grown in living cells, for serious conditions such as heart disease, cancer, and bone loss. Its anemia drug Epogen, approved in 1989, became one of the biotechnology industry's first blockbuster medicines. Amgen grows these drugs in large tanks called bioreactors, and its products include the cholesterol drug Repatha, the bone-building drug Evenity, and the severe asthma drug Tezspire. It earns money by selling these medicines, mostly through large drug wholesalers that supply hospitals and pharmacies. Amgen was founded in 1980 and is based in Thousand Oaks, California.

Company size
10,001+
Company stage
IPO
Headquarters
Thousand Oaks, CA
Founded
1980

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