Health Policy & Reimbursement Director
About The Position
The Health Policy & Reimbursement Director leads the development and implementation of U.S. federal payment policy strategies across one or more therapeutic areas and Amgen’s biosimilar portfolio. The role identifies and addresses federal payment policy barriers for pipeline products and therapies, advises on policy affecting inline products, manages assigned aspects of federal payer agency engagement, analyzes federal economic policy releases concerning drug payment, and supports policy work related to 340B. The director also provides strategic insights for engagement with agencies such as HHS and CMS. The role reviews and analyzes policy proposals in regulations and legislative text, communicates key proposals to internal audiences, and leads engagement with federal payer agencies in support of assigned objectives. It collaborates with Government Affairs, Commercial, Medical, Development, Regulatory, Law, and other functions. The director conducts policy research, integrates clinical, market, and payer information, and provides regular written and oral updates to partners on reimbursement and U.S. health policy topics. The position is based in Washington, DC.
Requirements
- Doctorate degree and 4 years of relevant experience, or a master’s degree and 7 years of relevant experience, or a bachelor’s degree and 9 years of relevant experience.
Nice To Haves
- Deep understanding of the U.S. federal payer environment, including healthcare product and service coverage, coding and reimbursement, health policy, and federal Executive and Legislative Branch healthcare policy-setting authorities, processes, and responsible parties.
- Broad and deep experience with federal health policy issues, specifically Medicare, Medicaid, and national health programs.
- Deep understanding of the U.S. biosimilars marketplace and its history and evolution.
- Experience working for or with key federal agencies such as HHS and CMS, with strategic insight into successful engagement with agency staff.
- Experience reviewing clinical literature, including disease-state information and target product profiles, to understand payer-action implications and develop submissions for federal programs such as Medicare.
- Demonstrated interpersonal, oral, and written communication skills, including the ability to foster collaboration, present comfortably, and communicate with senior executives.
- Experience reviewing federal cost estimates for health policy proposals.
- Product commercialization experience, directly or as a consultant.
- Experience in Amgen therapeutic areas, in health policy or product work.
- Experience participating in multi-stakeholder groups, such as trade associations or disease-specific groups.
Responsibilities
- Lead development and implementation of federal payment policy strategies for U.S. payer issues across one or more therapeutic areas and the company’s biosimilar portfolio.
- Identify and help resolve federal payment policy barriers to entry for pipeline products and therapies.
- Provide federal payment policy advice for inline products.
- Manage assigned aspects of federal payer policy agency engagement.
- Serve as lead analyst for federal economic policy releases addressing drug payment policy and provide policy support for 340B.
- Provide insights into strategic engagement with key agencies, including HHS and CMS.
- Review and analyze policy proposals in regulation and legislative text, and communicate key proposals to internal audiences.
- Lead engagement with federal payer agencies in support of assigned payment policy objectives.
- Conduct relevant policy research and integrate clinical, market, and payer information to support federal payment policy objectives.
- Regularly communicate reimbursement and U.S. health policy updates to key partners in writing and orally.
- Collaborate with colleagues in Government Affairs, Commercial, Medical, Development, Regulatory, Law, and other functions.
Benefits
- Health and welfare plans for staff and eligible dependents.
- Financial plans with opportunities to save toward retirement or other goals.
- Work/life balance and career development opportunities.
- Retirement and Savings Plan with generous company contributions.
- Group medical, dental, and vision coverage.
- Life and disability insurance.
- Flexible spending accounts.
- Discretionary annual bonus program, or a sales-based incentive plan for field sales representatives.
- Stock-based long-term incentives.
- Award-winning time-off plans.
- Flexible work models where possible.
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What This Job Offers
Job Type
Full-time
Career Level
Director
