Medical Value & Access Director CVS/AETNA

Amgen • Thousand Oaks, CA

4d • Remote

About The Position

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.

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

Nice To Haves

• 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
• Knowledgeable in the CMS’ Center for Medicare & Medicaid Innovation (CMMI), healthcare payment and service delivery models for the Enhancing Oncology Model (EOM)

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.
• Synthesizes customer insights to inform short- and long-term strategy and integrates customer-specific research needs into evidence generation plans.
• Serves as Medical Value & Access lead contact for US V&A, GV&A, Government Affairs, CfOR, and Scientific Communications regarding medical value and access content.
• 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.

Benefits

• A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
• A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
• Stock-based long-term incentives
• Award-winning time-off plans
• Flexible work models where possible.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior