Patient Access Liaison - TEPEZZA - Cleveland, OH

Patient Access Liaison (PAL) Amgen’s 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 in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. 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. 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. Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases. Investigate patient access challenges before and after infusion and support physician offices in reviewing denied claims. Escalate complex or systemic reimbursement issues to appropriate internal stakeholders. Collaborate with internal stakeholders including Market Access, Medical Affairs, Advocacy, Case Management, 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. Qualifications Minimum academic qualification and experience (Level 5): Doctorate or Master’s with 2 years; Bachelor’s with 4 years; Associate’s with 8 years; or high school diploma/ GED with 10 years of patient services/access experience. (Level 6 required Doctorate + 2 years, Master’s + 4 years, Bachelor’s + 6 years.) 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. Strong compliance and privacy understanding. Learning agility and decision quality. Stakeholder engagement and rapid response to urgent access needs. Ability to operate effectively in matrix field environments. Travel up to 50%, including occasional overnight and weekend commitments. Salary and Benefits Salary ranges are $158,394 – $185,578 for Level5 and $164,276 – $222,256 for Level6, with benefits including medical, dental, vision, life, disability, retirement contributions, flexible spending accounts, discretionary bonuses, stock‑based incentives, paid time off, and remote work options where possible. EEO Statement Amgen is an Equal Opportunity employer and will consider you without regard to your 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)