Case Manager Rare Disease TEPEZZA - Memphis TN
About The Position
Amgen is hiring a Case Manager to support patients receiving TEPEZZA for rare disease. The role oversees patient customer-service issues involving insurance, specialty pharmacies, and patient-support programs. The Case Manager works with internal teams, the hub, pharmacies, medical offices, patients, and families to coordinate access to therapy, resolve reimbursement obstacles, and maintain accurate case and patient-status records. The role also supports adherence, open-enrollment efforts, patient education, and reporting on access and reimbursement trends. Attendance at patient meetings, industry conferences, and sales meetings is expected. The position is based in Memphis, Tennessee, and requires up to 20% travel. Amgen describes a total rewards package that includes health and welfare coverage, financial and retirement plans, work/life balance, and career-development opportunities. The listed salary range is $81,851.60–$110,740.40.
Requirements
- One of the following education and experience combinations: master's degree; bachelor's degree and 2 years of Case Management experience; associate's degree and 6 years of Case Management experience; or high school diploma/GED and 8 years of Case Management experience.
- Excellent communication skills and commitment to customer service.
- Ability to resolve hurdles effectively across multiple cases at the same time.
- Ability to learn product and disease information and familiarity with HIPAA and FDA.
- Ability to manage communications with case managers and sales representatives across multiple geographies and time zones.
- Excel and PowerPoint skills.
- Ability to travel up to 20%.
Nice To Haves
- Bachelor's degree strongly preferred.
- 5 or more years of experience in the pharmaceutical industry.
- 2 or more years of prior experience as a Case Manager.
Responsibilities
- Monitor patient customer-service issues involving insurance, specialty pharmacies, and patient-support programs.
- Communicate with Regional Business Managers, Patient Access Liaisons, and Medical Science Liaisons about insurance approvals and reauthorizations.
- Coordinate with internal teams, the hub, pharmacies, patients, and families to manage the steps needed to gain access to therapy.
- Partner with Safety and Pharmacovigilance and report adverse events and product complaints through Medical Information.
- Maintain case histories for U.S. patients, recording relevant information from the hub, pharmacy, insurance calls, support programs, medical offices, patients, and families.
- Update patient status and track reimbursement and shipping status.
- Triage, troubleshoot, and resolve reimbursement issues, including prior authorizations, denials, appeals, reauthorizations, overrides, and billing problems.
- Contact medical offices as needed to obtain insurance authorizations.
- Counsel and advise patients and families about insurance, reimbursement, financial assistance, and therapeutic-access programs.
- Identify adherence trends and suggest appropriate action.
- Report weekly on patient-status changes, adjudication status, reimbursement trends, successes, and roadblocks.
- Manage, track, and report annual open-enrollment efforts to help ensure every patient has adequate insurance access.
- Attend patient meetings, industry conferences, and sales meetings.
Benefits
- Retirement and Savings Plan with company contributions.
- Group medical, dental, and vision coverage.
- Life and disability insurance.
- Flexible spending accounts.
- Discretionary annual bonus program, or a sales-based incentive plan for field sales representatives.
- Stock-based long-term incentives.
- Time-off plans and bi-annual company-wide shutdowns.
- Flexible work models, including remote work arrangements where possible.
- Career-development opportunities.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
