Patient Access Liaison - TEPEZZA - Buffalo, NY
Amgen
6 days ago
On-site
Buffalo, NY
Patient Advocacy
Patient Access Liaison (PAL) — field-based patient access and reimbursement specialist supporting patients, caregivers, healthcare providers, and sites of care with insurance coverage and reimbursement for Amgen therapies.
Responsibilities
- Serve as a resource for patient access and reimbursement for infused and specialty therapies.
- Help patients/caregivers/providers navigate insurance benefits, prior authorization, and reimbursement processes.
- Identify and resolve access barriers (coverage questions, prior authorization issues, denied claims) and educate on coding/billing for therapy access.
- Engage patients/caregivers by phone/virtual/in-person; obtain HIPAA authorizations within assigned geography.
- Educate patients on coverage and steps for prior authorization; provide info on co-pay assistance, national foundations, and free drug programs when appropriate.
- Educate physician offices and sites of care on coverage pathways, prior authorizations, coding, and billing; support infusion centers with reimbursement questions.
- Investigate access challenges before/after infusion; support review of denied claims and next steps; escalate complex/systemic issues.
- Partner cross-functionally (Market Access, Medical Affairs, Advocacy, Case Management, Site of Care) and share payer/reimbursement field insights.
- Adhere to policies/regulations; ensure HIPAA privacy alignment; report adverse events/product complaints; maintain accurate documentation.
Qualifications
Basic Qualifications
- Level 5: Doctorate OR Master’s + 2 yrs OR Bachelor’s + 4 yrs OR Associate’s + 8 yrs OR HS/GED + 10 yrs (patient services and/or access/reimbursement).
- Level 6: Doctorate + 2 yrs OR Master’s + 4 yrs OR Bachelor’s + 6 yrs (patient services/access/reimbursement).
Preferred
- Buy-and-bill/infused therapy experience; rare disease/orphan drug experience; clinical background (nursing/allied health).
- Knowledge of reimbursement (prior authorization, appeals, denied claims), HIPAA/FDA and OIG/compliance; analytical/problem-solving.
- Strong communication; manage complex patient situations; cross-functional field team experience.
- Proficiency with Microsoft Office/CRM and relevant systems; coding/billing/care programs knowledge; compliance/privacy; 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 (as stated)
- Base salary range: Level 5 $158,394–$185,578; Level 6 $164,276–$222,256.
- Total Rewards Plan: employee benefits (medical/dental/vision, life/disability, retirement and savings, flexible spending), discretionary bonus/incentive plan, stock-based long-term incentives, time-off/shutdowns, and flexible work where possible.
Application instructions
- Apply via careers.amgen.com. Application deadline: August 3, 2026 (continuing until sufficient applications/selection).
Responsibilities
- Serve as a resource for patient access and reimbursement for infused and specialty therapies.
- Help patients/caregivers/providers navigate insurance benefits, prior authorization, and reimbursement processes.
- Identify and resolve access barriers (coverage questions, prior authorization issues, denied claims) and educate on coding/billing for therapy access.
- Engage patients/caregivers by phone/virtual/in-person; obtain HIPAA authorizations within assigned geography.
- Educate patients on coverage and steps for prior authorization; provide info on co-pay assistance, national foundations, and free drug programs when appropriate.
- Educate physician offices and sites of care on coverage pathways, prior authorizations, coding, and billing; support infusion centers with reimbursement questions.
- Investigate access challenges before/after infusion; support review of denied claims and next steps; escalate complex/systemic issues.
- Partner cross-functionally (Market Access, Medical Affairs, Advocacy, Case Management, Site of Care) and share payer/reimbursement field insights.
- Adhere to policies/regulations; ensure HIPAA privacy alignment; report adverse events/product complaints; maintain accurate documentation.
Qualifications
Basic Qualifications
- Level 5: Doctorate OR Master’s + 2 yrs OR Bachelor’s + 4 yrs OR Associate’s + 8 yrs OR HS/GED + 10 yrs (patient services and/or access/reimbursement).
- Level 6: Doctorate + 2 yrs OR Master’s + 4 yrs OR Bachelor’s + 6 yrs (patient services/access/reimbursement).
Preferred
- Buy-and-bill/infused therapy experience; rare disease/orphan drug experience; clinical background (nursing/allied health).
- Knowledge of reimbursement (prior authorization, appeals, denied claims), HIPAA/FDA and OIG/compliance; analytical/problem-solving.
- Strong communication; manage complex patient situations; cross-functional field team experience.
- Proficiency with Microsoft Office/CRM and relevant systems; coding/billing/care programs knowledge; compliance/privacy; 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 (as stated)
- Base salary range: Level 5 $158,394–$185,578; Level 6 $164,276–$222,256.
- Total Rewards Plan: employee benefits (medical/dental/vision, life/disability, retirement and savings, flexible spending), discretionary bonus/incentive plan, stock-based long-term incentives, time-off/shutdowns, and flexible work where possible.
Application instructions
- Apply via careers.amgen.com. Application deadline: August 3, 2026 (continuing until sufficient applications/selection).