Case Manager - Rare Disease - US Remote

Career CategorySalesJob DescriptionJob DescriptionHOW MIGHT YOU DEFY IMAGINATION?You've 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 mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.LiveWhat you will doLet's do this. Let's 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 programsDaily 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 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 hasaccess to adequate insuranceAdvise patients and families on insurance, financial assistance and therapeutic access programsAttend patient meetings, industry conferences and sales meetingsWinWhat we expect of youWe are all different, yet we all use our unique contributions to serve patients. The professional we seek is a [type of person] with these qualifications.Basic Qualifications:Master's degree ORBachelor's degree and 2 years of Case Management experience OrAssociate's degree and 6 years of Case Management experience OrHigh school diploma / GED and 8 years of Case Management experiencePreferred Qualifications:Bachelor's Degree strongly preferred5+ years of experience in the pharmaceutical industry2+ years prior experience as a Case ManagerExcellent 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 usAs 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.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 imaginationObjects in your future are closer than they appear. Join us.careers.amgen.comAmgen anticipates accepting until 2/14/2025 however, we will continue acceptingapplications 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.Salary Range87,151.00 USD - 98,921.00 USD Apply tot his job Apply To this Job