Medical Value & Access Director CVS/AETNA

 Posted 2 hours ago
     
 $212K - $287K per year
  
10+ years experience
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AI Summary

Lead strategic medical activities and develop objectives for national and regional payer accounts, specifically focusing on CVS/Aetna. Maintain professional relationships with healthcare decision-makers and integrate value models to enhance patient access and health outcomes.

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- CVS/Aetna 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:

·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 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

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

  • 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

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.

The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications.

In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include:

  • 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.

Apply now and make a lasting impact with the Amgen team.

careers.amgen.com

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.

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Salary Range

212,364.00USD -287,316.00 USD

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