Value & Access Insights Sr. Manager, Medical Benefit Products
Amgen
Summary
The Value and Access Insights Senior Manager leads analytics for managed care and organized customers, helping shape payer and provider strategies for the Value & Access Analytics Insights organization's medical benefit portfolio. As part of a cross-functional analytics insights team, this role delivers integrated analyses and insights to coverage and pricing teams, with a focus on payer and provider reimbursement strategies through secondary data analytics and data integration. This position reports to the Director of Value & Access Analytics and Insights.
Job description
Responsibilities
- Partner with Payer Marketing and Pricing/Contracting and Brand Marketing teams to build and prioritize analytics and insights plan in support of value and access strategy for medical benefit portfolio.
- Understand pharmaceutical ecosystem and data sets including medical and pharmacy claims (ex. IQVIA LAAD, Claims), prescription (ex. IQVIA NPA), outlet (ex. IQVIA DDD) and chargeback data.
- Provide in-depth, expertise-based oversight and delivery of managed markets analysis including product formulary position, utilization management controls, customer segmentation and control/sophistication assessment.
- Prepare, continuously refine and present periodic reports tracking product and portfolio performance against business objectives.
- Execute analytics plan to support payer insights from various payer datasets based on detailed understanding of related datasets i.e Patient level claims data; Payer claims data; Formulary coverage; Specialty Pharmacy Data.
- Constructively challenge teams by providing disconfirming information and encouraging innovative problem solving.
- Build and maintain strong relationships with cross functional partners; proactively seeks buy-in and provides ongoing support to address business needs.
- Perform advanced analytics including longitudinal patient level analysis, time series modeling, customer segmentation and issue diagnostics in support of business questions.
- Create data analytics models to generate strategic actionable business insights using SQL, R, Python and Microsoft Excel.
Basic Qualifications
- Doctorate degree and 2 years of business experience OR
- Master's degree and 4 years of business experience OR
- Bachelor's degree and 6 years of business experience OR
- Associate's degree and 10 years of business experience OR
- High school diploma / GED and 12 years of business experience
Preferred Qualifications
- Working experience on Analytics of products with Medical benefit and Pharmacy benefit usage.
- Prior experience working with buy-and-bill products and having a good understanding of provider reimbursement/NCR analytics.
- Prior experience in contracts and pricing, direct payer experience or value marketing and have a good foundational understanding of the US payer environment and a strong foundation in the U.S. healthcare market.
- Excellent conceptual problem-solving skills with demonstrated ability to bring structure to vaguely defined problems, pragmatic problem-solving approach, and manage execution.
- Exceptional written/oral communication skills and executive presence across functions and across different levels of leadership.
- Authoritative command of complexity and ambiguity; ability to see the big picture; ability to collect, digest and assemble information to enable relevant business analyses.
- Strong leadership skills with a demonstrated ability to influence different styles.
- 5+ years of healthcare experience in the biopharmaceutical industry, health care, and/or strategy consulting with specific experience and expertise in coverage, access and reimbursement drivers impacting the biopharmaceutical industry.
- High degree of analytical and problem-solving skills.
- Exhibits strong understanding of business strategies.
Requirements
- Doctorate degree and 2 years of business experience OR Master's degree and 4 years of business experience OR Bachelor's degree and 6 years of business experience OR Associate's degree and 10 years of business experience OR High school diploma / GED and 12 years of business experience
- Working experience on Analytics of products with Medical benefit and Pharmacy benefit usage
- Prior experience working with buy-and-bill products and having a good understanding of provider reimbursement/NCR analytics
- Prior experience in contracts and pricing, direct payer experience or value marketing and have a good foundational understanding of the US payer environment and a strong foundation in the U.S. healthcare market
- Excellent conceptual problem-solving skills with demonstrated ability to bring structure to vaguely defined problems, pragmatic problem-solving approach, and manage execution
- Exceptional written/oral communication skills and executive presence across functions and across different levels of leadership
- Authoritative command of complexity and ambiguity; ability to see the big picture; ability to collect, digest and assemble information to enable relevant business analyses
- Strong leadership skills with a demonstrated ability to influence different styles
- 5+ years of healthcare experience in the biopharmaceutical industry, health care, and/or strategy consulting with specific experience and expertise in coverage, access and reimbursement drivers impacting the biopharmaceutical industry
- High degree of analytical and problem-solving skills
- Exhibits strong understanding of business strategies
Benefits
- 401(k) Matching
- Medical, Dental & Vision
- Life & Disability Insurance
- Flexible Spending Accounts
- Annual Bonus Program
- Stock-based Long-term Incentives
- Time-off Plans
- Flexible Work Models
Company overview
Amgen Inc. is a leading American multinational biopharmaceutical company headquartered in Thousand Oaks, California, founded in 1980. As one of the world's largest independent biotechnology companies, Amgen specializes in discovering, developing, manufacturing, and delivering innovative human therapeutics. The company focuses on six key therapeutic areas: inflammation, oncology/hematology, bone health, cardiovascular disease, nephrology, and neuroscience. Amgen's portfolio includes blockbuster drugs such as Enbrel for autoimmune diseases, Prolia and XGEVA for osteoporosis, Repatha for cholesterol management, Otezla for psoriasis, and Neulasta for chemotherapy-induced neutropenia. With approximately 28,000 employees worldwide, Amgen operates as a component of both the Dow Jones Industrial Average and Nasdaq-100 indices. The company maintains a robust research and development pipeline with numerous clinical programs across various stages, leveraging cutting-edge biotechnology and human genetic data to address some of the world's most challenging diseases. Amgen's manufacturing capabilities span multiple global locations, and it distributes products through pharmaceutical wholesale distributors and direct-to-consumer channels.