Case Manager

1 month ago

Washington, Washington, D.C., United States Amgen Full time

HOW MIGHT YOU DEFY IMAGINATION?

Youve worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.

Live

What you will do

Lets do this. Lets change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer service issues with insurance, the specialty pharmacy, and patient support programs

Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaisons (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizationsWork closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapyPartner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)s and product complaints through medical informationMaintain 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 familiesMaintain and update patient status to track reimbursement and shipping status of U.S. patientsTriage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems)Liaise with medical offices as necessary to obtain insurance authorizationsCounsel patients and family on insurance and reimbursement optionsIdentify general and specific adherence trends and suggest appropriate actionReport on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocksManage, track, and report on Open Enrollment efforts annually to ensure every patient has access to adequate insuranceAdvise patients and families on insurance, financial assistance and therapeutic access programsAttend patient meetings, industry conferences and sales meetingsWinWhat we expect of you We are all different, yet we all use our unique contributions to serve patients. The individual we seek is a healthcare professional with these qualifications. Basic Qualifications:Masters degree OR Bachelors degree and 2 years of Case Management experienceOr Associates degree and 6 years of Case Management experienceOr High school diploma / GED and 8 years of Case Management experience Preferred Qualifications:Bachelors Degree strongly preferred5+ years of experience in the pharmaceutical industry2+ years prior experience as a Case ManagerScientific or nursing background a plusExcellent communication skills and commitment to customer serviceAbility to effectively resolve hurdles across multiple cases at the same timeAbility to learn product and disease information, familiarity with HIPAA and FDAAbility to manage communication with case managers and sales reps across multiple geographies and time zonesExcel and PowerPoint skills requiredUp to 20% travel requiredThriveWhat you can expect of us As we work to develop treatments that take care of others, we also work to care for our teammates professional and personal growth and well-being. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications. In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.A discretionary annual bonus program, or for field sales representatives, a sales-based incentive planStock-based long-term incentivesAward-winning time-off plans and bi-annual company-wide shutdownsFlexible work models, including remote work arrangements, where possibleApply nowfor a career that defies imagination Objects in your future are closer than they appear. Join us. Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position. 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.

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