Senior Manager, Obesity Coverage & Value Strategy

Amgen SA; Northern (KY); Hybrid; USD 140,000 - 210,000; Full time

Job summary

Amgen is seeking a Senior Manager, Obesity Coverage and Value Strategy to lead the U.S. payer coverage and value-marketing agenda for obesity-related conditions.

The role translates clinical and economic evidence into actionable strategies for commercial, Medicare and Medicaid segments, strengthening access and reducing friction in coverage. You will manage prior-authorization analysis, collaborate with Pricing, Contracts and field access teams, and develop payer-facing materials to support

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.

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.

Skills

Strategic thinking

Synthesis

Leadership

Communication

Education

Doctorate degree

Master’s degree

Bachelor’s degree

Associate’s degree

High school diploma

Job description

Amgen is seeking a Senior Manager, Obesity Coverage and Value Strategy to lead the U.S. payer coverage and value-marketing agenda for obesity-related conditions.

The role translates clinical and economic evidence into actionable strategies for commercial, Medicare and Medicaid segments, strengthening access and reducing friction in coverage. You will manage prior-authorization analysis, collaborate with Pricing, Contracts and field access teams, and develop payer-facing materials to support