Value & Access Sr. Manager, Medical Benefit products

About this role

Career Category
Value and AccessJob Description
Join Amgen’s Mission of Serving Patients
At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do.
Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four therapeutic areas –Oncology, Inflammation, General Medicine, and Rare Disease– we reach millions of patients each year. Amgen is advancing a broad and deep pipeline of medicines to treat cancer, heart disease, inflammatory conditions, rare diseases, and obesity and obesity-related conditions. As a member of the Amgen team, you’ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you’ll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Value & Access Sr. Manager, Medical Benefit products
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What you will do
Let’s do this. Let’s change the world. The Value and Access Insights Senior Manager leads analytics for managed care and organized customers, helping shape payer and provider strategies for the Value & Access Analytics Insights organization’s medical benefit portfolio. As part of a cross-functional analytics insights team, this role delivers integrated analyses and insights to coverage and pricing teams, with a focus on payer and provider reimbursement strategies through secondary data analytics and data integration. This position reports to the Director of Value & Access Analytics and Insights.
In the face of a US health care system growing more complex day-by-day, we must constantly adapt and evolve our strategies ensure our patients have appropriate access to our medicines. The US Value & Access (V&A) Insights Senior Manager will play a critical role in monitoring, diagnosing, and addressing payer obstacles and challenges. In this role, you will partner with US Payer Marketing and C&P teams to build a deep understanding of the US managed markets environment for assigned products. You will provide integrated analysis combining multiple primary and secondary data sources to uncover deep insights that will guide payer, access, and reimbursement strategies. You will also look at
Responsibilities:

Partner with Payer Marketing and Pricing/Contracting and Brand Marketing teams to build and prioritize analytics and insights plan in support of value and access strategy for medical benefit portfolio.

Understand pharmaceutical ecosystem and data sets including medial and pharmacy claims (ex. IQVIA LAAD, Claims), prescription (ex. IQVIA NPA), outlet (ex. IQVIA DDD) and chargeback data

Provide in-depth, expertise-based oversight and delivery of managed markets analysis including product formulary position, utilization management controls, customer segmentation and control/sophistication assessment.

Prepare, continuously refine and present periodic reports tracking product and portfolio performance against business objectives.

Execute analytics plan to support payer insights from various payer datasets based on detailed understanding of related datasets i.e Patient level claims data; Payer claims data; Formulary coverage; Specialty Pharmacy Data..

Constructively challenge teams by providing disconfirming information and encouraging innovative problem solving

Build and maintain strong relationships with cross functional partners; proactively seeks buy-in and provides ongoing support to address business needs

Perform advanced analytics including longitudinal patient level analysis, time series modeling, customer segmentation and issue diagnostics in support of business questions

Create data analytics models to generate strategic actionable business insights using SQL, R, Python and Microsoft Excel

Win

What we expect of you
We are all different, yet we all use our unique contributions to serve patients. The Value & Access Sr. Manager, Medical Benefit products we seek is a motivated professional with these qualifications.
Basic Qualifications

PhD or foreign equivalent degree in Business Administration, Accounting, Finance, Engineering (any), Science (any), Statistics or related field OR

Master’s or foreign equivalent degree in Business Administration, Accounting, Finance, Engineering (any), Science (any), Statistics or related field plus 2 years of business experience OR

Bachelor’s or foreign equivalent degree in Business Administration, Accounting, Finance, Engineering (any), Science (any), Statistics or related field plus 4 years of business experience

Preferred Qualifications:

Working experience on Analytics of products with Medical benefit and Pharmacy benefit usage.

Prior experience working with buy-and-bill products and having a good understanding of provider reimbursement/NCR analytics.

Prior experience in contracts and pricing, direct payer experience or value marketing and have a good foundational understanding of the US payer environment and a strong foundation in the U.S. healthcare market

Excellent conceptual problem-solving skills with demonstrated ability to bring structure to vaguely defined problems, pragmatic problem-solving approach, and manage execution

Exceptional written/oral communication skills and executive presence across functions and across different levels of leadership

Authoritative command of complexity and ambiguity; ability to see the big picture; ability to collect, digest and assemble information to enable relevant business analyses

Strong leadership skills with a demonstrated ability to influence different styles

5+ years of healthcare experience in the biopharmaceutical industry, health care, and/or strategy consulting with specific…