• Case Manager - Rare Disease- KRYSTEXXA- West Coast…

    Amgen (Los Angeles, CA)


    HOW** **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.

     

    Live

     

    What you will** **do

     

    Let’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 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

    + MaintaincasehistoryforallU.S.patients,enteringrelevantnotesfromthehub,the pharmacy, callstoinsurance, patient support programs, physiciansandnurses, andthe 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,andreport on OpenEnrollmenteffortsannuallytoensureeverypatienthasaccesstoadequateinsurance

    + Advise patients and families on insurance, financial assistance and therapeutic accessprograms

    + Attend patient meetings, industry conferences and sales meetings

     

    Win

     

    What we expect of** **you

     

    We are all different, yet we all use our unique contributions to serve patients. The professional we seek is a person with these qualifications.

    Basic** **Qualifications:

    Master’s degree OR

     

    Bachelor’s degree and 2 years of Case Management experience Or related

     

    Associate’s degree and 6 years of Case Management experience Or related

     

    High school diploma / GED and 8 years of Case Management experience

    Preferred** **Qualifications:

    + 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

    + Abilitytomanagecommunicationwithcasemanagersandsalesrepsacrossmultiple geographies and time zones

    + Excel and PowerPoint skills required

    + Up to 20% travel required

     

    Thrive

     

    What** **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.

    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 generouscompanycontributions,groupmedical,dentalandvisioncoverage,lifeand 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

     

    for a career that defies** **imagination

     

    Objects in your future are closer than they appear. Join us.

     

    careers.amgen.com

     

    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.