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Case Manager - Rare Disease- TEPEZZA

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Amgen

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Location:
United States , Houston

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Category:
Sales

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Contract Type:
Not provided

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Salary:

90718.00 - 103850.00 USD / Year
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Job Description:

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.

Job Responsibility:

  • 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 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
  • Advise patients and families on insurance, financial assistance and therapeutic access programs
  • Attend patient meetings, industry conferences and sales meetings

Requirements:

  • Master’s degree
  • Bachelor’s degree and 2 years of Case Management experience
  • Associate’s degree and 6 years of Case Management experience
  • 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
What we offer:
  • 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 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

Additional Information:

Job Posted:
March 04, 2026

Expiration:
March 16, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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