Case Manager/PAP
Core
Assist patients, healthcare professionals, and insurance companies in accessing progressive therapies by verifying benefits, navigating reimbursement, and resolving prior authorization issues.
Role type
Patient Access Case Manager
Builds
Patient support programs for Amgen's launch brands
Domain
Biotechnology / Patient Access / Healthcare Administration
Deliverable
client delivery
Required skills
Benefits verification, Prior authorization processing, Reimbursement navigation, Payor landscape navigation, Data integrity, SOP adherence, Call center operations, Pharmacy interaction
Preferred skills
Regulatory environment experience, Adverse event reporting, Claims coding (ICD-9/10), Accounting principles, MS Office proficiency, Trend analysis
Technologies
AS+ / Tezspire Together HUB, Supporting technologies
Responsibilities
Verify patient benefits and assist with copay/prior authorization/reimbursement; Handle inbound/outbound calls from HCPs and patients; Enter data into systems; Compile and analyze reimbursement trend data; Work with commercial and government payors; Interact with pharmacies to expedite patient experience.
Seniority
Individual Contributor, Entry to Mid-level