Patient Access Liaison will support patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies. 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.
Requirements
- 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
- Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
- 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
- Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes
- 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 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
Benefits
- 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
