Case Management Lead- Uplizna- Rare Disease (Remote)
About The Position
Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. 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. HOW MIGHT YOU DEFY IMAGINATION? At Amgen, our shared mission—to serve patients—drives all that we do. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reach millions of patients worldwide. It’s time for a career you can be proud of. Position Summary: The Case Management Lead works in a highly visible, team and collaborative environment leading and partnering with both internal and external business partners. They will serve as a front-line manager with respect to the internal Case Management team, evaluating employees while coaching and developing skillsets. The Case Management Lead will take a leadership role representing the case management team and provide exceptional leadership at all case management touch points. They will work with patients, prescribers, and sites of care to navigate through the Patient Assistance Program processes as well as working in collaboration with Specialty Pharmacies and Sites of Care in resolution of copay claims. One must listen to and support patients and medical professionals, addressing their specific needs, providing friendly, courteous, professional and well-informed answers and solutions to their questions and needs.
Requirements
- Bachelor's Degree and 5 years of case management experience within pharmaceutical, biotech or medical device industry or hospital.
- OR Associate degree and 10 years of case management experience within pharmaceutical, biotech or medical device industry or hospital.
- OR High school diploma/GED and 12 years of case management experience within pharmaceutical, biotech or medical device industry or hospital.
- Buy and bill experience required.
- Hub Services/Reimbursement/Specialty Pharmacy background strongly preferred.
- Excellent communication skills and commitment to customer service.
- Ability to effectively resolve hurdles across multiple cases at the same time.
- Ability to learn product and disease information, familiarity with HIPAA and FDA.
- Ability to manage communication with case managers and other stakeholders across multiple geographies and time zones.
- Up to 35% travel required.
- Proficient in Microsoft Office.
- Professional demeanor.
- Self-starter attitude.
- Strong interpersonal skills.
- Excellent written and verbal communication skills.
- Strong business acumen
Responsibilities
- Effectively manage, coach, evaluate performance and develop individuals on case manager team
- Day to day oversight of performance with awareness of patient customer service issues ensuring that Key Performance Indicators are met with satisfaction
- Work closely with the PALs, the hub, specialty pharmacies, and the patient/caregivers to effectively manage complicated cases with barriers in access to therapy
- Partner with Safety and Pharmacovigilance and report adverse events and product complaints through medical information
- Demonstrate the ability to identify, troubleshoot and resolve initial and ongoing access issues and educate/team for future resolution
- Liaise with medical offices as necessary to educate on insurance authorization processes for both medical and pharmacy benefit therapies
- Identify general and specific adherence trends at the payor level and suggest appropriate action
- Assist Associate Director, HUB Services in developing strategy, managing, tracking, and reporting on Open Enrollment efforts and reverification season progress
- Subject matter expert amongst case manager team
- Serve as liaison with external stakeholders (HUB and Specialty Pharmacy)
- Coordinate with Training and the National Sr. Case Manager for onboarding of new hires as well as ongoing training with existing case managers
Benefits
- 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 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
