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Patient Access Liaison - TEPEZZA

United States, Columbus Employment contract 158394.00 - 222256.00 USD / Year · Job Posted June 01, 2026
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Job Description

The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.

Job Responsibility

  • 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 to 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

  • 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
  • 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

Nice to have

  • 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
  • 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
  • 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
  • Travel up to 50%, including occasional overnight and weekend commitments

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

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