About the Role
The Patient Access Liaison (PAL) is a field-based specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies. The role focuses on ensuring timely and sustained access to therapy by addressing reimbursement barriers and providing education on coverage and financial assistance programs.
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
- Detailed-oriented and customer-focused.
- Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses.
- Ability to operate effectively in matrix field environments.
Skills
- 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
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Ability to manage complex patient situations and resolve access barriers
- Experience working in cross-functional field teams
- Proficiency in Microsoft Office, CRM, AI and relevant systems
Location
- Field-based
Work Type
- Full-time
- Travel up to 50%, including occasional overnight and weekend commitments
Experience Level
- 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
Education Level
- Doctorate degree
- Master's degree
- Bachelor's degree
- Associate's degree
- High school diploma / GED
Salary/Compensations
- $158,394 - $185,578 for Level 5
- $164,276 - $222,256 for Level 6
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
- A discretionary annual bonus program
- 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
About the Company
- Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics.
- This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology.
- Amgen focuses on areas of high unmet medical need and leverages its biologics manufacturing expertise to strive for solutions that improve health outcomes and dramatically improve people's lives.
- A biotechnology pioneer since 1980, Amgen has grown to be one of the world's leading independent biotechnology companies, has reached millions of patients around the world and is 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.
- We will ensure that individuals with disabilities are 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.
- Please contact us to request accommodation.
