Senior Manager, Obesity Coverage and Value Strategy

Amgen Inc. (IR); Thousand Oaks (CA); Hybrid; USD 144,000 - 195,000; Full time

Benefits offered by this job

Flexible work models

Job summary

Amgen Inc. in Thousand Oaks, CA, seeks a Senior Manager, Obesity Coverage and Value Strategy to own the U.S. payer coverage and value-marketing agenda for OaR. Turn clinical, economic, patient and market evidence into segment and account-level access strategies.

Lead prior-authorization analyses, collaborate with Pricing, Contracting, Insights and field access teams, develop payer-facing materials, and drive evidence-based value stories to improve coverage while reducing access friction.

Qualifications

• Doctorate level or equivalent with 2+ years in market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics or sales & marketing operations.
• Master’s degree with 4+ years in the same areas would be considered.
• Bachelor’s degree with 6+ years in the same areas would be considered.
• Associate’s degree with 10+ years in the same areas would be considered.
• High school diploma with 12+ years in the same areas would be considered.

Responsibilities

• Lead the integrated U.S. coverage strategy across commercial, Medicare and Medicaid segments, including payer segmentation and access objectives.
• Define the coverage position, formulary tier, prior authorization, step therapy and clinical criteria; assess patient journey and business implications.
• Own prior-authorization and utilization-management analysis and analyze approval/denial patterns and renewal requirements.
• Provide approved coverage assumptions to the Pricing Lead for GTN and contract modeling; explain changes and uncertainties.
• Collaborate with Pricing, Contracting, Insights and field access teams to translate payer realities into coverage strategies and pull-through plans.
• Lead payer, employer and market research to test coverage barriers and translate findings into prioritized actions.
• Develop and govern payer-facing materials and field tools, including value dossiers, FAQs and account-planning aids.
• Coordinate with HEOR, Real World Evidence, Medical and Global Value teams on evidence priorities and dissemination.

Skills

Strategic thinking

Leadership

Payer strategy

Communication

Education

Doctorate degree + 2 years market access/HEOR

Master’s degree + 4 years market access/HEOR

Bachelor’s degree + 6 years market access/HEOR

Associate’s degree + 10 years market access/HEOR

High school diploma + 12 years market access/HEOR

Job description

Career Category Sales & Marketing Operations 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.

Senior Manager, Obesity Coverage and Value Strategy

The Senior Manager Obesity and Related Conditions (OaR) Coverage and Value Strategy owns the U.S. payer coverage and value-marketing agenda for OaR. The role turns clinical, economic, patient and market evidence into segment and account-level access strategy, compelling payer communication and practical field pull-through that improves appropriate coverage and reduces access friction. The role owns prior-authorization and utilization-management analysis and supplies approved coverage assumptions to the Pricing Lead.

Core responsibilities:

• Lead the integrated U.S. coverage strategy across commercial, Medicare and Medicaid segments, including payer segmentation, access objectives, account priorities and plans to establish, improve and protect coverage.
• Define the desired coverage and utilization-management position, including formulary tier, prior authorization, step therapy, reauthorization, quantity limits and clinical criteria; assess patient-journey and business implications.
• Own prior-authorization and utilization-management analysis, including criteria benchmarking, documentation burden, patient-flow implications, approval and denial patterns, renewal requirements, administrative friction and alternative policy scenarios.
• Provide clear, approved coverage, prior authorization criteria , step and reauthorization assumptions to the Pricing Lead for gross to net (GTN) and contract modeling; explain changes and uncertainty without transferring ownership of the access analysis.
• Partner with Pricing, Contracting, Insights and field access teams to translate payer realities into coverage strategies, contracting objectives, pull-through plans and escalation priorities.
• Lead the U.S. payer value story and customer-specific value communication, connecting MariTide clinical profile, burden of obesity and related conditions, health-economic evidence, patient experience and affordability to payer decision needs.
• Develop, refresh and govern payer-facing materials and field tools, including value dossiers, payer presentations, objection handlers, coverage resources, FAQs, training content and account-planning aids through the appropriate review process.
• Lead payer, employer and market research to test coverage barriers, evidence needs, benefit-management expectations, value messages and evolving obesity policies; convert findings into prioritized actions.
• Collaborate with Health Economics Outcomes Research and Real World Evidence, Medical and Global Value and Access on evidence priorities, payer objections and evidence dissemination; identify evidence gaps that could improve coverage or reduce utilization burden.
• Track coverage performance and access Key Performance Indicators by segment and customer; diagnose barriers using formulary, claims, field and customer insight; mobilize accountable partners to close priority gaps.
• Shape value evidence and coverage implications for employer and consumer pathways when requested, while the Consumer Director and Employer Lead Director retain ownership of their strategies and relationships.
• Partner with Brand, Patient Access & Reimbursement on affordability and access education, consumer and Health Care Professional experience, and the clinical-operational handoffs required for patients to start and persist appropriately.
• Present concise coverage, evidence and value recommendations to the Director and appropriate launch or governance forums; make dependencies, uncertainties and decisions explicit.

What we expect of you

We are all different, yet we all use our unique contributions to serve patients. The professional we seek is someone with these qualifications.

• Basic qualifications: Doctorate degree and 2 years of market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics or sales and marketing operations experience;
• OR Master’s degree and 4 years of market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics or sales and marketing operations experience;
• OR Bachelor's degree and 6 years of market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics or sales and marketing operations experience;
• OR Associate’s degree and 10 years of market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics or sales and marketing operations experience;
• OR High school diploma or GED and 12 years of market access, value marketing, HEOR, payer strategy, reimbursement, pricing, contracting, finance, analytics or sales and marketing operations experience.

• Preferred Qualifications: Experience in payer marketing, coverage strategy, managed markets, HEOR or value communication, patient access, or a payer, PBM or employer setting;
• launch experience in chronic, primary-care or cardiometabolic markets preferred.
• Strong working knowledge of U.S. pharmacy and medical benefits, formulary decision-making, prior authorization, step therapy, reauthorization, benefit design and access operations.
• Ability to interpret clinical trials, real-world evidence and health-economic analyses and translate them accurately for payer coverage and utilization-management decisions.
• Demonstrated experience developing compliant payer or access materials and enabling customer-facing teams through training and pull-through tools.
• Strong strategic thinking, synthesis, facilitation, writing and presentation skills; able to independently lead a defined strategic workstream and influence in a matrixed launch environment.

What you can expect of us

As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way.

• 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.

Refer to the Work Location Type in the job posting to see if this applies.

In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

Application deadline

Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.

Sponsorship

Sponsorship for this role is not guaranteed.

As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.

Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

#obesity . Salary Range 144,225.45USD -195,128.55 USD

Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology. Amgen focuses on areas of high unmet medical need and leverages its biologics manufacturing expertise to strive for solutions that improve health outcomes and dramatically improve people's lives. A biotechnology pioneer since 1980, Amgen has grown to be one of the world's leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline of medicines with breakaway potential. For more information, visit www.amgen.com and follow us on www.twitter.com/amgen