Medical Value Access Director - National Accounts, Humana

Career Category

Medical Affairs

Job 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.

Medical Value & Access Director- National Account Lead

What you will do

Let’s do this. Let’s change the world. In this vital role you will lead therapeutically aligned activities to develop strategic objectives & tactics in collaboration with Medical for National Accounts and prioritized regional accounts. The Medical Value & Access Accounts Director is also responsible for the following:

• 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

• 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

• Travel is required (~30%)

What we expect of you

We are all different, yet we all use our unique contributions to serve patients. The Medical Value & Access Accounts Director we seek is a leader with these qualifications.

Basic Qualifications:

Doctorate degree and 4 years of Medical Science Liaison and/or Payer/PBM experience

or

Master’s degree and 7 years of Medical Science Liaison and/or Payer/PBM experience

or

Bachelor’s degree and 9 Medical Science Liaison and/or Payer/PBM experience

Preferred Qualifications:

• 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