Patient Access Liaison- Rare Disease- Chicago, IL
Amgen
Patient Access Liaison (PAL) — Field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care with insurance coverage and reimbursement for Amgen therapies.
Key Responsibilities
- Serve as a resource on patient access and reimbursement for infused and specialty therapies.
- Assist patients, caregivers, and providers with insurance benefits, prior authorization, and reimbursement processes.
- Identify and resolve access challenges (coverage questions, prior authorization barriers, denied claims).
- Provide education on coding and billing considerations.
- Engage patients/caregivers via phone, virtual, and in-person; obtain HIPAA authorization within assigned geography.
- Assess patient needs; educate on coverage and steps to obtain prior authorization.
- Provide information on co-pay assistance, national foundations, and free drug programs (as appropriate).
- Educate physician offices and sites of care on coverage pathways and reimbursement processes.
- Support providers and infusion centers with reimbursement questions related to patient cases.
- Investigate access challenges before/after infusion; review denied claims and identify next steps.
- Escalate complex/systemic reimbursement issues to internal stakeholders.
- Partner with internal teams (Market Access, Medical Affairs, Advocacy, Case Management, Site of Care) and share field insights.
Compliance (role-required)
- Follow company policies and applicable regulations; align with HIPAA and internal compliance guidance.
- Report adverse events/product complaints via pharmacovigilance processes.
- Maintain accurate documentation in internal systems.
What We Expect of You
Basic Qualifications (Level 5)
- Doctorate OR Master’s + 2 yrs OR Bachelor’s + 4 yrs OR Associate’s + 8 yrs OR High school/GED + 10 yrs in patient services and/or access & reimbursement.
Basic Qualifications (Level 6)
- Doctorate + 2 yrs OR Master’s + 4 yrs OR Bachelor’s + 6 yrs in patient services and/or access & reimbursement.
Preferred Qualifications
- Experience with buy-and-bill/infused therapies; rare disease/orphan drug experience.
- Clinical background (nursing/allied health).
- Reimbursement knowledge (prior authorization, appeals, denied claims); HIPAA and FDA knowledge; familiarity with internal/OIG compliance.
- Strong analytical, problem-solving, and written/verbal communication skills.
- Ability to manage complex cases and resolve access barriers; cross-functional field team experience.
- Proficiency in Microsoft Office, CRM, AI and relevant systems.
- Coding/billing awareness; patient support program knowledge; learning agility/decision quality/stakeholder engagement.
- Ability to respond rapidly to urgent access needs; operate in matrix environments.
- Travel up to 50% (occasional overnight/weekends).
Benefits (explicitly stated)
- Annual base salary: Level 5 $158,394–$185,578; Level 6 $164,276–$222,256. Plus Total Rewards Plan (medical/dental/vision, life/disability, retirement/savings, bonus/incentives, stock incentives, time-off/shutdowns, flexible work where possible).
Application Instructions
- Apply at careers.amgen.com. Application deadline: August 3, 2026 (continue accepting until sufficient candidates or selection).