Case Manager - Amgen Support + & Teze

Amgen • Tampa, FL

280d • $78,882 - $107,404 • Hybrid

About The Position

Join an incredible team that's redefining Amgen's patient support programs. In this vital role, you will be handling industry leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program. Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and meaningful careers through exciting assignments, career development, and valuable opportunities! The case manager assists in enabling access to progressive therapies that improve the health and well-being of individuals with treatable diseases. You will interface closely with patients, HCP offices, and insurance companies to remove barriers and enable patients to begin therapy faster. This will frequently involve in engaging directly with health care professionals to establish options for financial assistance / reimbursement by navigating complex benefit programs in an increasingly complicated payor landscape. Of utmost importance are: (a) the need to engage empathetically with partners and stakeholders (b), attention to detail and the ability to ensure a high quality of data integrity when interacting with supporting technologies, and (c) a self-starting demeanor and desire to problem solve by leveraging lessons learned and best practices. In depth training will be provided to arm you with the skills that will make you successful in this role.

Requirements

• Master's degree OR Bachelor's degree and 2 years of Customer Service/Call Center experience OR Associate's degree and 6 years of Customer Service/Call Center experience OR High school diploma / GED and 8 years of Customer Service/Call Center experience.
• High School Diploma or GED required and at least two years of related experience (health care administration, medical coding and billing, customer service, direct benefits verification support, etc.).

Nice To Haves

• Current Bone Health customer representative experience preferred.
• Proven experience working in a regulatory environment and experience with timely adverse event reporting.
• Proven experience working with both commercial and government payors.
• Experience with interacting with pharmacies to expedite a positive patient experience.
• Strong communication skills and a collaborative spirit to build relationships.
• Possess a strong 'can do' attitude and demonstrated follow through and problem-solving skills.
• Attention to detail and ability to prioritize work.
• Able to remain agile with multiple plan designs and call types.
• General knowledge of accounting principles, pharmacy operations and medical claims.
• Understanding of claims coding (ICD-9 and ICD-10) is preferred.
• Proven experience with MS Office products.
• Ability to identify trends or gaps with people, processes and/or systems.

Responsibilities

• Provide support to patients and partner with HCP and insurance companies to transform Patient Access.
• Understand and adhere to government regulations and company policies.
• Verify benefits for each patient and assist with copay, prior authorization and reimbursement issues.
• Maintain positive rapport.
• Handle inbound and outbound calls from HCP's and patients and enter all appropriate data into the system.
• Compile and analyze data regarding reimbursement trends to assist with continuous improvement efforts.
• Work with both commercial and government payors.
• Interact with pharmacies to expedite a positive patient experience.

Benefits

• A 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.
• Flexible work models, including remote and hybrid work arrangements, where possible.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Chemical Manufacturing
• Education Level: Bachelor's degree