Patient Access Liaison Jobs

About The Position

Requirements

• Level 5: Doctorate degree; or a master’s degree and 2 years of patient services and/or access and reimbursement experience; or a bachelor’s degree and 4 years of such experience; or an associate’s degree and 8 years of such experience; or a 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 a master’s degree and 4 years of such experience; or a bachelor’s degree and 6 years of such experience.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to manage complex patient situations and resolve access barriers.
• 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, prior authorization processes, 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.
• Provide education on coding and billing considerations relevant to therapy access.
• Develop relationships with patients and caregivers through phone, virtual, and in-person engagement.
• Secure written or electronic patient HIPAA authorization within the assigned geography.
• Assess individual 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.
• Provide information about common prior authorization requirements, coding considerations, and billing practices.
• Support healthcare providers and infusion centers with reimbursement questions related to patient cases.
• Investigate access challenges before and after infusion.
• Support physician offices and sites of care in reviewing denied claims and identifying potential next steps.
• Escalate complex or systemic reimbursement issues to appropriate internal stakeholders.
• Partner with internal stakeholders, including Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams, to support patient access initiatives.
• Coordinate with internal and external partners to ensure appropriate resources are available to support patient access.
• Share field insights regarding 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 a Retirement and Savings Plan with generous 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.
• Award-winning time-off plans and bi-annual company-wide shutdowns.
• Flexible work models, including remote work arrangements where possible.
• Career development opportunities.