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About the Role

The Patient Access Liaison (PAL) is a field-based specialist supporting patients, caregivers, and healthcare providers in navigating insurance coverage and reimbursement for Amgen therapies. This role ensures timely access to therapy by addressing reimbursement barriers, educating on coverage and financial assistance, and collaborating with internal teams to support the patient journey. The PAL operates with independence in managing assigned patient cases and contributes field insights to inform broader access strategies.

Responsibilities

Serve as a resource on patient access and reimbursement for infused and specialty therapies.
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes.
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims.
Provide education regarding 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 assigned geography.
Assess individual patient needs and provide education and resources that support access to therapy.
Educate patients on coverage considerations and the steps required to obtain prior authorization.
Provide information regarding 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 regarding common prior authorization requirements, coding considerations, and billing practices.
Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases.
Investigate patient 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.
Adhere to 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.

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 patient services and/or access and reimbursement experience OR Associate’s degree and 8 years of patient services and/or access and reimbursement experience OR High school diploma / GED and 10 years of patient services and/or access and reimbursement 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 patient services, and/or access and reimbursement, experience OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience.
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.
Travel up to 50%, including occasional overnight and weekend commitments.

Skills

Strong analytical and problem-solving skills.
Excellent written and verbal communication skills.
Ability to manage complex patient situations and resolve access barriers.
Proficiency in Microsoft Office, CRM, AI and relevant systems.
Access and reimbursement knowledge.
Prior authorization processes.
Healthcare reimbursement systems.
Coding and billing awareness.
Patient support program knowledge.
Compliance and privacy requirements.
Learning agility.
Decision quality.
Stakeholder engagement.
Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses.
Ability to operate effectively in matrix field environments.

Location

Field-based
Assigned geography

Work Type

Field-based
Travel up to 50%
Occasional overnight and weekend commitments

Experience Level

Level 5: 2 years with Master's degree, 4 years with Bachelor's degree, 8 years with Associate's degree, 10 years with High school diploma / GED in patient services and/or access and reimbursement.
Level 6: 2 years with Doctorate degree, 4 years with Master's degree, 6 years with Bachelor's degree in patient services and/or access and reimbursement.

Education Level

Doctorate degree
Master’s degree
Bachelor’s degree
Associate’s degree
High school diploma / GED

Salary/Compensations

Level 5: $158,394 - $185,578
Level 6: $164,276 - $222,256

Benefits

Comprehensive employee benefits package
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
Sales-based incentive plan (for field sales representatives)
Stock-based long-term incentives
Award-winning time-off plans
Bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements where possible

About the Company

Amgen's mission is to serve patients living with serious illnesses.
Pioneered the world of biotech since 1980.
Focuses on four therapeutic areas: Oncology, Inflammation, General Medicine, and Rare Disease.
Researches, manufactures, and delivers innovative medicines to help people live longer, fuller, happier lives.
Award-winning culture is collaborative, innovative, and science-based.
Global biotechnology leader.
Committed to unlocking the potential of biology for patients.
Uses advanced human genetics to unravel disease complexities and understand human biology fundamentals.
Focuses on areas of high unmet medical need.
Leverages biologics manufacturing expertise to improve health outcomes.
One of the world's leading independent biotechnology companies.
Reached millions of patients around the world.
Developing a pipeline of medicines with breakaway potential.

Equal Opportunity

Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Individuals with disabilities will be provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Contact us to request accommodation.