Patient Access Liaison, Manager - Krystexxa - New Orleans, LA (Rare Disease)

Patient Access Liaison, Manager – KRYSTEXXA The Patient Access Liaison, Manager 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. Key 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 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. 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 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. Provide information regarding 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 Amgen’s internal system. Travel up to 50%, including occasional overnight and weekend commitments. Basic Qualifications Doctorate degree OR Master’s degree and 2 years of patient services and/or access and reimbursement experience Bachelor’s degree and 4 years of patient services and/or access and reimbursement experience Associate’s degree and 8 years of patient services and/or access and reimbursement experience High school diploma / GED and 10 years of patient services and/or access and reimbursement experience 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 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 Benefits Amgen offers a comprehensive employee benefits package, including health, dental, vision, life and disability insurance, retirement and savings plan with company contributions, flexible spending accounts, discretionary annual bonus program, sales‑based incentive plan, long‑term stock incentives, time‑off plans, and flexible work models. Equal Opportunity Employer Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. 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