Patient Access Liaison - TEPEZZA - Colorado

The Patient 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. The PAL serves as a key resource to assist stakeholders in understanding payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role ensures timely and sustained access to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financial assistance programs. Working within a collaborative field environment, the PAL partners with internal teams including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to support the patient journey. The PAL operates independently managing assigned patient cases and contributes field insights that inform broader access strategies. Key Responsibilities Act as a patient access and reimbursement resource for infused and specialty therapies, assisting patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes. Identify and resolve access challenges, including coverage questions, prior authorization barriers, and denied claims, while providing education regarding 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. Assess individual patient needs and provide education and resources that support access to therapy, including information on co‑pay assistance programs, national foundations, and free drug programs when appropriate. Educate physician offices and sites of care on therapy coverage pathways, reimbursement processes, prior authorization requirements, coding considerations, and billing practices. Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases and investigate access challenges before and after infusion. Escalate complex or systemic reimbursement issues to appropriate internal stakeholders and share field insights regarding payer policies and reimbursement challenges. Adhere to company policies, compliance guidance, HIPAA privacy requirements, and federal, state, and local regulations, reporting adverse events and product complaints through established pharmacovigilance processes, and maintaining accurate documentation of activities and interactions in Amgen’s internal system. Basic Qualifications Level5: Doctorate degree OR Master’s degree with 2 years of patient services and/or access and reimbursement experience; Bachelor’s degree with 4 years of patient services and/or access and reimbursement experience; Associate’s degree with 8 years of patient services and/or access and reimbursement experience; High school diploma/GED with 10 years of patient services and/or access and reimbursement experience. Level6: Doctorate degree with 2 years of patient services, and/or access and reimbursement experience; Master’s degree with 4 years of patient services, and/or access and reimbursement experience; Bachelor’s degree with 6 years of patient services, and/or access and reimbursement experience. Travel up to 50%, including occasional overnight and weekend commitments. Preferred Qualifications Experience supporting buy‑and‑bill or infused pharmaceutical therapies. Rare disease or orphan drug experience. 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. Strong analytical and problem‑solving skills. Excellent written and verbal communication skills. Ability to manage complex patient situations and resolve access barriers. Experience working in cross‑functional field teams. Proficiency in Microsoft Office, CRM, AI and relevant systems. Access and reimbursement knowledge. Prior authorization processes. Healthcare reimbursement systems. Coding and billing awareness. Patient support program knowledge. Compliance and privacy requirements. Learning agility. Decision quality. Stakeholder engagement. Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses. Ability to operate effectively in matrix field environments. Travel up to 50%, including occasional overnight and weekend commitments. Benefits Annual base salary: $158,394–$185,578 for Level5; $164,276–$222,256 for Level6. Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans to save toward retirement or other goals. Health, dental, and vision coverage; life and disability insurance; flexible spending accounts. 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. Amgen is an Equal Opportunity employer and will consider you without regard to 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. #J-18808-Ljbffr Amgen Inc. (IR)