Senior Manager, Obesity Coverage and Value Strategy

What you will do

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.

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.

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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.

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Salary Range