Overnight Liaison
$158.39k - $185.58kBioSpace
The Patient Access Liaison (PAL) is a field‑based specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies. The PAL Manager works closely with internal teams, including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care, to ensure timely access to therapy.
Serve as 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 identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims.
Provide education regarding coding and billing considerations.
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.
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.
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.
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.
Or Masters degree and 2 years of patient services and/or access and reimbursement experience
Or Bachelors degree and 4 years of patient services and/or access and reimbursement experience
Or Associates degree and 8 years of patient services and/or access and reimbursement experience
Or 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
Or Master’s degree and 4 years of patient services, and/or access and reimbursement experience
Or Bachelor’s degree and 6 years of patient services, and/or access and reimbursement experience
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
Amgen offers a total rewards plan including health and welfare plans for staff and eligible dependents, financial plans, work/life balance, career development opportunities, and:
Comprehensive employee benefits package - 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.
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 provide reasonable accommodation for applicants with disabilities.
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