Patient Access Liaison - Rare Disease - US Field (West)
Amgen
8 hours ago
On-site
Los Angeles, CA
Patient Advocacy
Patient Access Liaison (PAL)
Responsibilities
- Support patients, caregivers, healthcare providers, and sites of care with insurance coverage and reimbursement for Amgen infused/specialty therapies.
- Educate stakeholders on payer requirements, prior authorization, coding/billing considerations, and available patient support resources.
- Assist with insurance benefits navigation, resolution of access barriers (coverage questions, prior auth barriers, denied claims), and investigation of access challenges pre/post infusion.
- Engage patients and caregivers via phone/virtual/in-person; obtain HIPAA authorization; assess needs and provide education/resources.
- Provide provider and site-of-care education on coverage pathways, common prior authorization requirements, coding/billing practices, and reimbursement questions.
- Coordinate with internal teams (Market Access, Medical Affairs, Advocacy, Case Management, Site of Care) and share payer/reimbursement field insights.
- Adhere to policies and applicable regulations; ensure HIPAA-aligned privacy; report adverse events/product complaints; maintain accurate documentation.
Qualifications
- Level 5: Doctorate OR Master’s + 2 yrs experience OR Bachelor’s + 4 yrs OR Associate’s + 8 yrs OR HS/GED + 10 yrs in patient services and/or access & reimbursement.
- Level 6: Doctorate + 2 yrs OR Master’s + 4 yrs OR Bachelor’s + 6 yrs.
Preferred skills/experience
- Buy-and-bill or infused therapy experience; rare disease/orphan drug; clinical background; reimbursement knowledge (prior auth/appeals/denials); HIPAA/FDA & OIG compliance familiarity; strong analytics/problem-solving; excellent communication; manage complex cases; cross-functional field teams; proficiency with Microsoft Office/CRM/systems; coding/billing and patient support program knowledge; rapid response to urgent access needs; matrix field effectiveness; travel up to 50%.
Benefits (as stated)
- Total Rewards Plan: comprehensive medical/dental/vision, life/disability, retirement savings, flexible spending accounts, discretionary bonus/incentive, stock-based long-term incentives, time-off/shutdowns, and flexible work where possible.
Application
- Apply at careers.amgen.com. Deadline: August 3, 2026 (continuing until sufficient applications/candidate selection).
Responsibilities
- Support patients, caregivers, healthcare providers, and sites of care with insurance coverage and reimbursement for Amgen infused/specialty therapies.
- Educate stakeholders on payer requirements, prior authorization, coding/billing considerations, and available patient support resources.
- Assist with insurance benefits navigation, resolution of access barriers (coverage questions, prior auth barriers, denied claims), and investigation of access challenges pre/post infusion.
- Engage patients and caregivers via phone/virtual/in-person; obtain HIPAA authorization; assess needs and provide education/resources.
- Provide provider and site-of-care education on coverage pathways, common prior authorization requirements, coding/billing practices, and reimbursement questions.
- Coordinate with internal teams (Market Access, Medical Affairs, Advocacy, Case Management, Site of Care) and share payer/reimbursement field insights.
- Adhere to policies and applicable regulations; ensure HIPAA-aligned privacy; report adverse events/product complaints; maintain accurate documentation.
Qualifications
- Level 5: Doctorate OR Master’s + 2 yrs experience OR Bachelor’s + 4 yrs OR Associate’s + 8 yrs OR HS/GED + 10 yrs in patient services and/or access & reimbursement.
- Level 6: Doctorate + 2 yrs OR Master’s + 4 yrs OR Bachelor’s + 6 yrs.
Preferred skills/experience
- Buy-and-bill or infused therapy experience; rare disease/orphan drug; clinical background; reimbursement knowledge (prior auth/appeals/denials); HIPAA/FDA & OIG compliance familiarity; strong analytics/problem-solving; excellent communication; manage complex cases; cross-functional field teams; proficiency with Microsoft Office/CRM/systems; coding/billing and patient support program knowledge; rapid response to urgent access needs; matrix field effectiveness; travel up to 50%.
Benefits (as stated)
- Total Rewards Plan: comprehensive medical/dental/vision, life/disability, retirement savings, flexible spending accounts, discretionary bonus/incentive, stock-based long-term incentives, time-off/shutdowns, and flexible work where possible.
Application
- Apply at careers.amgen.com. Deadline: August 3, 2026 (continuing until sufficient applications/candidate selection).