Patient Access Liaison- TEPEZZA- Cincinnati, OH

Amgen • Columbus, OH

6d • Remote

About The Position

The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist who supports patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies. The PAL helps stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and patient support resources. The role focuses on timely, sustained access to therapy by addressing reimbursement barriers and educating patients and providers about coverage and financial assistance programs.

Working collaboratively with internal teams, the PAL manages assigned patient cases independently and shares field insights that inform broader access strategies. The position supports infused and specialty therapies and engages patients and caregivers by phone, virtually, and in person. Travel may be up to 50%, including occasional overnight and weekend commitments.

Requirements

• Level 5: Doctorate degree; or master’s degree and 2 years of patient services and/or access and reimbursement experience; or bachelor’s degree and 4 years of such experience; or associate’s degree and 8 years of such experience; or high school diploma/GED and 10 years of such experience.
• Level 6: Doctorate degree and 2 years of patient services and/or access and reimbursement experience; or master’s degree and 4 years of such experience; or bachelor’s degree and 6 years of such experience.
• Ability to manage complex patient situations and resolve access barriers.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses.
• Ability to operate effectively in matrix field environments.
• Travel up to 50%, including occasional overnight and weekend commitments.

Nice To Haves

• Experience supporting buy-and-bill or infused pharmaceutical therapies.
• Rare disease or orphan drug experience.
• Clinical background such as nursing or allied health.
• Understanding of reimbursement processes, including prior authorization, appeals, and denied claims management.
• Knowledge of HIPAA guidelines and FDA regulatory requirements.
• Familiarity with internal and OIG compliance guidelines.
• Experience working in cross-functional field teams.
• Proficiency in Microsoft Office, CRM, AI, and relevant systems.
• Knowledge of access and reimbursement, healthcare reimbursement systems, coding and billing, patient support programs, and compliance and privacy requirements.
• Learning agility, decision quality, and stakeholder engagement.

Responsibilities

• Serve as a resource on patient access and reimbursement for infused and specialty therapies.
• Help patients, caregivers, and healthcare providers navigate insurance benefits, prior authorization requirements, and reimbursement processes.
• Identify and help resolve access challenges, including coverage questions, prior authorization barriers, and denied claims.
• Educate stakeholders on coding and billing considerations relevant to therapy access.
• Build relationships with patients and caregivers through phone, virtual, and in-person engagement.
• Secure written or electronic patient HIPAA authorization within the assigned geography.
• Assess patient needs and provide education and resources that support access to therapy.
• Educate patients on coverage considerations and steps required to obtain prior authorization.
• Provide information about co-pay assistance programs, national foundations, and free drug programs when appropriate.
• Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes.
• Support healthcare providers and infusion centers with reimbursement questions related to patient cases.
• Investigate patient access challenges before and after infusion.
• Help physician offices and sites of care review denied claims and identify potential next steps.
• Escalate complex or systemic reimbursement issues to appropriate internal stakeholders.
• Partner with Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams on patient access initiatives.
• Coordinate with internal and external partners to ensure appropriate resources are available to support patient access.
• Share field insights about payer policies and reimbursement challenges.
• Follow company policies, compliance guidance, and applicable federal, state, and local regulations.
• Ensure activities align with HIPAA privacy requirements and internal compliance guidelines.
• Report adverse events and product complaints through established pharmacovigilance processes.
• Maintain accurate documentation of activities and interactions in Amgen’s internal system.

Benefits

• Comprehensive employee benefits package, including medical, dental, and vision coverage, life and disability insurance, and flexible spending accounts.
• Retirement and Savings Plan with generous company contributions.
• Discretionary annual bonus program, or a sales-based incentive plan for field sales representatives.
• 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.
• Career development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED