Patient Access Liaison - UPLIZNA (Rare Disease)
amgen
Job description
About the role
Amgen is hiring a Patient Access Liaison (PAL) for its UPLIZNA (rare disease) program, based in the Los Angeles/San Diego area. 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 while partnering 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 coding and billing considerations, prior authorization steps and co-pay assistance programs, foundations and free drug programs
- Build relationships with patients and caregivers, secure written or electronic HIPAA authorizations and assess individual needs
- Educate physician offices and sites of care on coverage pathways, common prior authorization requirements 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 compliance and privacy 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
- Travel up to 50%, including occasional overnight and weekend commitments
Required skills
- Preferred: buy-and-bill or infused therapy experience, rare disease or orphan drug experience, clinical background
- Preferred: understanding of prior authorization, appeals and denied claims; HIPAA and FDA knowledge; familiarity with internal and OIG compliance guidelines
- Preferred: Microsoft Office, CRM and AI tools
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, 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 and bi-annual company-wide shutdowns
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