Amgen

Case Manager – Rare Disease

Amgen

full-time

Posted on:

Location Type: Remote

Location: Colorado • Illinois • United States

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Salary

💰 $90,718 - $103,850 per year

About the role

  • Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison’s (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizations
  • Work closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy
  • Partner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)’s and product complaints through medical information
  • Maintain case history for all U.S. patients, entering relevant notes from the hub, the pharmacy, calls to insurance, patient support programs, physicians and nurses, and the patients and families
  • Maintain and update patient status to track reimbursement and shipping status of U.S. patients
  • Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems)
  • Liaise with medical offices as necessary to obtain insurance authorizations
  • Counsel patients and family on insurance and reimbursement options
  • Identify general and specific adherence trends and suggest appropriate action
  • Report on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocks
  • Manage, track, and report on Open Enrollment efforts annually to ensure every patient has access to adequate insurance
  • Attend patient meetings, industry conferences and sales meetings

Requirements

  • Master’s degree OR Bachelor’s degree and 2 years of Case Management experience
  • Or Associate’s degree and 6 years of Case Management experience
  • Or High school diploma / GED and 8 years of Case Management experience
  • Bachelor’s Degree strongly preferred
  • 5+ years of experience in the pharmaceutical industry
  • 2+ years prior experience as a Case Manager
  • Excellent communication skills and commitment to customer service
  • Ability to effectively resolve hurdles across multiple cases at the same time
  • Ability to learn product and disease information, familiarity with HIPAA and FDA
  • Ability to manage communication with case managers and sales reps across multiple geographies and time zones
  • Excel and PowerPoint skills required
  • Up to 20% travel required
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.
  • A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Case ManagementReimbursementInsurance AuthorizationsAdverse Event ReportingPharmacovigilancePatient CounselingTrend AnalysisOpen Enrollment ManagementHIPAA ComplianceFDA Knowledge
Soft Skills
Communication SkillsCustomer ServiceProblem SolvingMulti-taskingInterpersonal SkillsOrganizational SkillsCollaborationAttention to DetailAdaptabilityTime Management