What are the responsibilities and job description for the Case Manager - Rare Disease- TEPEZZA - Central US- Remote position at BioSpace?
Job Description
HOW MIGHT YOU DEFY IMAGINATION?
Youve 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 missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds 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
Lets do this. Lets 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 Liaisons (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 specic 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, nancial assistance and therapeutic access
programs
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 [type of person] with these qualications.
Basic Qualications
Masters degree OR
Bachelors degree and 2 years of Case Management experience Or
Associates degree and 6 years of Case Management experience Or
High school diploma / GED and 8 years of Case Management experience
Preferred Qualications
Bachelors 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
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, Nancial Plans With Opportunities To Save Towards Retirement Or Other Goals, Work/life Balance, And Career Development Opportunities Including
Comprehensive employee benets package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and exible spending accounts.
A discretionary annual bonus program, or for eld 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
Apply now
for a career that dees imagination
Objects in your future are closer than they appear. Join us.
careers.amgen.com
Amgen anticipates accepting until 11/15/2026 however, we will continue accepting
applications 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 benets and privileges of employment. Please contact us to request accommodation.
HOW MIGHT YOU DEFY IMAGINATION?
Youve 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 missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds 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
Lets do this. Lets 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 Liaisons (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 specic 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, nancial assistance and therapeutic access
programs
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 [type of person] with these qualications.
Basic Qualications
Masters degree OR
Bachelors degree and 2 years of Case Management experience Or
Associates degree and 6 years of Case Management experience Or
High school diploma / GED and 8 years of Case Management experience
Preferred Qualications
Bachelors 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
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, Nancial Plans With Opportunities To Save Towards Retirement Or Other Goals, Work/life Balance, And Career Development Opportunities Including
Comprehensive employee benets package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and exible spending accounts.
A discretionary annual bonus program, or for eld 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
Apply now
for a career that dees imagination
Objects in your future are closer than they appear. Join us.
careers.amgen.com
Amgen anticipates accepting until 11/15/2026 however, we will continue accepting
applications 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 benets and privileges of employment. Please contact us to request accommodation.