Field Compliance Liaison
MSCCN
ATTENTION MILITARY AFFILIATED JOB SEEKERS
The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four therapeutic areas - Oncology, Inflammation, General Medicine, and Rare Disease - we reach thousands of patients each year. As a member of the Amgen team, you’ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller, happier lives. Our award-winning culture is collaborative, innovative, and science-based. If you have a passion for solving complex challenges and driving meaningful impact for patients, you’ll thrive as part of the Amgen team. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reach millions of patients worldwide. Key Responsibilities Patient Access and Reimbursement Support 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. Patient and Caregiver Engagement 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. Provider and Site-of-Care Education 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. 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. Cross-Functional Collaboration Partner with internal stakeholders including Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams to support patient access initiatives. Share field insights regarding payer policies and reimbursement challenges. Compliance, Safety, and Operational Excellence 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. 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 Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience Master's degree and 4 years of patient services, and/or access and reimbursement, experience Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience Preferred Qualifications Experience supporting buy-and-bill or infused pharmaceutical therapies 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 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 Compliance and privacy requirements Decision quality 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 What you can expect of us As we work to develop treatments that take care of others, we also work to care for our teammates’ professional and personal growth and well-being. In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: 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#
Vacancy posted 3 days ago
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