Therapy Billing Liaison - Full Time
Amgen Inc
Career CategoryCorporate ServicesJob DescriptionJoin Amgen’s Mission of Serving PatientsAt Amgen, if you feel like you’re part of something bigger, it’s because you are. 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. 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 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. 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 role operates with independence in managing assigned patient cases and contributes field insights that inform broader access strategies. Key ResponsibilitiesPatient Access and Reimbursement SupportServe 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 EngagementDevelop 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 EducationEducate 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 CollaborationPartner 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 ExcellenceAdhere 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. WinWhat we expect of youBasic Qualifications - Level 5Doctorate degree OR Master’s degree and 2 years of patient services and/or access and reimbursement experience OR Bachelor’s degree and 4 years of patient services and/or access and reimbursement experience OR Associate’s 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 Basic Qualifications - Level 6Doctorate degree and 2 years of patient services, and/or access and reimbursement, experienceORMaster's degree and 4 years of patient services, and/or access and reimbursement, experienceORBachelor's degree and 6 years of patient services, and/or access and reimbursement, experiencePreferred QualificationsExperience supporting buy-and-bill or infused pharmaceutical therapiesRare 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 lapsesAbility to operate effectively in matrix field environmentsTravel up to 50%, including occasional overnight and weekend commitments ThriveWhat you can expect of usAs 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 planStock-based long-term incentivesAward-winning time-off plans and bi-annual company-wide shutdownsFlexible work models, including remote work arrangements, where possibleApply nowfor a career that defies imaginationObjects in your future are closer than they appear. comApplication deadlineAmgen's application deadline is August 3, 2026; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.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. Full time
$157k - $212.41k
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