Patient Access Liaison, Manager - Krystexxa (Rare Disease)
amgen · Jacksonville
Job description
About the role
Amgen is hiring a Patient Access Liaison (PAL) for its Krystexxa rare-disease program in Jacksonville, FL. This field-based patient access and reimbursement specialist supports patients, caregivers, healthcare providers and sites of care in navigating insurance coverage and reimbursement for Amgen therapies. The PAL works independently on assigned cases and partners with Market Access, Medical Affairs, Advocacy, Marketing, Case Management and Site of Care teams.
Key responsibilities
- Help patients, caregivers and providers navigate insurance benefits, prior authorization and reimbursement, and resolve coverage questions, denied claims and access barriers
- Educate patients on coverage, prior authorization steps, co-pay assistance programs, national foundations and free drug programs
- Educate physician offices and sites of care on coverage pathways, coding considerations and billing practices
- Investigate access issues before and after infusions, review denied claims and escalate complex reimbursement issues internally
- Share field insights on payer policies and reimbursement challenges
- Follow HIPAA and compliance requirements, report adverse events and product complaints, and keep accurate records
Required profile
- Level 5: doctorate, or master's degree with 2 years of patient services/access/reimbursement experience, or bachelor's with 4 years, or associate's with 8 years, or high school diploma with 10 years
- Level 6: doctorate with 2 years, or master's with 4 years, or bachelor's with 6 years of relevant experience
- Preferred: buy-and-bill or infused therapy experience, rare disease or orphan drug experience, clinical background, understanding of prior authorization and appeals, and familiarity with HIPAA, FDA and OIG compliance
- Travel up to 50%, including occasional overnight and weekend commitments
Required skills
- Preferred: Microsoft Office, CRM, AI and relevant systems
- Preferred: prior authorization, reimbursement systems, coding and billing awareness, patient support programs, compliance and privacy requirements
What we offer
- Annual base salary of $158,394-$185,578 for Level 5 and $164,276-$222,256 for Level 6
- Retirement and savings plan with company contributions, medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
- Discretionary annual bonus or sales-based incentive plan, stock-based long-term incentives
- Award-winning time-off plans, bi-annual company-wide shutdowns and flexible work options
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amgen
Jacksonville
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