Medical Value & Access Director
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Job Description
Medical Value & Access Director driving strategic objectives for Amgen's patient care initiatives. Fostering relationships with payers and integrating value models across teams.
Responsibilities:
- Lead therapeutically aligned activities to develop strategic objectives & tactics in collaboration with Medical for National Accounts and prioritized regional accounts
- Develops and maintains professional relationships with targeted Payer, Pathways, GPO, Trade & Specialty Pharmacy population health decision makers relative to the Amgen portfolio
- Leads continuing integration of comprehensive value & total cost of care models with Field Medical organization to enhance the level of internal/external payer & pathways engagements
- Liaises and supports strategic relationship between targeted National and Regional payer/pathways executives and senior Amgen executives
- Knowledgeable in the CMS’ Center for Medicare & Medicaid Innovation (CMMI), healthcare payment and service delivery models for the Enhancing Oncology Model (EOM)
- Synthesizes customer insights to inform short- and long-term strategy and integrates customer-specific research needs into evidence generation plans
- participates in strategy discussions with Market Access & Trade for payer engagements.
- Leads internal training initiatives to support comprehensive value across integrated Field Medical team and Scientific Communications
- Serves as Oncology/Rare/Orphan Disease strategic point of contact to assigned Commercial National & Regional account directors to embed Medical strategic engagement priorities.
- Leads the review of (and provides input when clinically appropriate) on utilization/prior authorization & criteria for use with medical policies developed by the national Payer account as well as downstream policies to ensure appropriate clinically supported alignment
- Supports Managed Care/Payer advisory boards, congresses and professional association meetings
- Principal Medical point of contact with Government Affairs on key policy issues & legislation related to improving patient access and health outcomes.
- Supports understanding of HCEI communication principles across the medical organization and adherence to relevant SOPs.
- Travel is required (~30%)
Requirements:
- Doctorate degree and 4 years of Medical Science or Payer experience OR Master’s degree and 7 years of Medical Science or Payer experience OR Bachelor’s degree and 9 years of Medical Science or Payer experience
- Pharm.D., Ph.D., M.D., D.O. or Master’s Degree (Other Doctoral & Master’s Degrees considered)
- 5+ years of related Payer/PBM/Pathways/Trade/Specialty Pharmacy customer experience
- 2+ years Group Purchasing Organization (GPO) experience
- Evidence of significant impact & rapport with Payer accounts
- Leadership experience & demonstrated ability to inspire, coach & develop talent
- Deep knowledge of managed markets, pharmacoeconomics, population health and broad healthcare & healthcare policy/legislation trends
- Excellent strategic perspective, communication and presentation skills
- Strong background of partnering with Medical & Commercial cross-functional colleagues to provide value to customers.
Benefits:
- A comprehensive employee benefits package, including health and welfare plans for staff and eligible dependents
- Retirement and Savings Plan with generous company contributions
- Group medical, dental and vision coverage
- Life and disability insurance
- Flexible spending accounts
- A discretionary annual bonus program
- Stock-based long-term incentives
- Award-winning time-off plans
- Flexible work models where possible
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