Market Access Private Insurance Senior Manager

Ontario
$199,919 per year
Permanent
Full-time

7 days ago

Career Category Value and AccessJob DescriptionJoin Amgen’s Mission of Serving PatientsAt 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. 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.Position: Market Access Private Insurance Senior ManagerReporting to: Director, Value & AccessWhat you will doLet’s do this. Let’s change the world. In this vital role you will sit within the Value, Access & Policy department and operates at the intersection of pricing, reimbursement, and stakeholder engagement, aligning internal teams with external payer needs to drive both access and business outcomes. The role is accountable for ensuring Amgen’s innovative and biosimilar therapies achieve timely coverage and reimbursement by private insurers in Canada.This position focuses on shaping and executing payer strategies, leading negotiations, and leveraging established relationships with private insurance stakeholders to secure optimal patient access. It requires strong executive presence and credibility when engaging with private payers, representing the organization effectively in high-impact external interactions.The role demands deep expertise in private market dynamics, including payers, PBMs, brokers, and policy influencers, to enable successful product listings, defend existing access, and support pipeline launches. It is also critical in providing internal teams with strategic insights and serving as the subject matter expert on the evolving payer landscape to inform decision-making and sustain competitive positioning.Responsibilities:Deliver Results

Lead the development and execution of the Private Insurance strategic plan across the portfolio, including innovator and biosimilar products
Define and execute tailored payer strategies for key private insurance customers to optimize formulary positioning and maximize patient access across the Amgen portfolio
Own and deliver against private payer access objectives, including coverage, patient access, and financial performance
Generate and leverage data-driven insights to identify opportunities, shape strategy, and inform business decisions
Identify access barriers and implement solutions (e.g., coverage policy optimization, prior authorization support) to enhance patient access
Lead private payer strategy for new product launches and indications, ensuring timely, competitive, and sustainable coverage
Evolve payer strategies across the product lifecycle in response to market dynamics, competitive pressures, and policy changes

Stakeholder Engagement & Relationship Management

Strengthen and expand strategic relationships with key private insurance stakeholders, including insurers, pharmacy benefit managers (PBMs), brokers, plan sponsors, and other payer decision-makers
Represent the organization in external forums, industry associations, and working groups, demonstrating strong executive presence and reinforcing organizational credibility
Lead complex negotiations and strategic engagements with private payers to secure and sustain optimal access outcomes
Shape and influence payer perception of value and reimbursement decisions through targeted, high-impact engagements

Cross-Functional Leadership

Partner with internal teams including VA&P (Health Economics Manager, Contracts & Pricing Manager, Government Relations Manager), Medical Team, Commercial Team, Patient Support Team, Legal
Act as the subject matter expert on private payer dynamics, influencing brand and portfolio strategy, ensuring alignment between access strategy and brand objectives
Partners with Patient Support Programs to optimize the end-to-end patient access experience
Communicate complex payer insights clearly to diverse audiences, including senior leadership, and influence cross-functional alignment

Pricing & Reimbursement Optimization

Collaborate with Pricing to align on product pricing strategies that support reimbursement
Work with Pricing to develop compelling business cases that assess trade-offs between access, pricing, and profitability to inform decision-making
Optimize reimbursement pathways to ensure rapid, broad, and sustainable access
Support development of reimbursement strategies for both in-market and pipeline products
Provide input into listing agreements, reimbursement terms, contract strategies and financial modeling
Monitor and evaluate the financial impact of payer agreements

Contracting & Agreement Management

Lead negotiation of private payer agreements and product listings, while balancing speed and value
Support team to ensure contracts are compliant and aligned with corporate and legal requirements
Track performance against contractual terms and KPIs
Collaborate on the design, negotiation, and implementation of innovative contracting solutions
Support lifecycle management of agreements, ensuring performance tracking and optimization
Identify opportunities for novel reimbursement models and strategic collaborations

Market Intelligence & Insights

Monitor competitor access strategies and payer coverage decisions, to inform Private Insurance Strategic Plan
Gather and synthesize insights from payer interactions to inform strategy and Commercial teams
Provide regular updates to senior leadership on access risks and opportunities
Leverage analytics to guide forecasting and planning for current and pipeline products
Identify emerging risks and opportunities within the private insurance ecosystem

Evidence & Value Proposition Development

Support development of value dossiers and payer-facing materials
Translate clinical and pharmacoeconomic data into compelling payer value propositions
Influence on how payers assess value, including outcomes, cost-effectiveness, and workforce impact

Compliance & Governance

Ensure all interactions with payers align with legal, regulatory, and compliance standards
Maintain documentation and transparency in payer engagements

What we expect of you:We are all different, yet we all use our unique contributions to serve patients. The professional we seek is a type of person with these qualifications.Basic Qualifications:

Bachelor’s degree in life sciences, business, health economics, or a related field
Minimum of 10 years of demonstrated experience working with or for private insurers and/or payer organizations

Preferred Qualifications:

Demonstrated experience of working with or for a pharmaceutical/biopharmaceutical manufacturer, with a focus on market access, reimbursement, or private payer strategy.
Recognized expertise in the Canadian private payer landscape, including insurers and PBMs
Strong, established relationships across the private insurance ecosystem
Deep understanding of drug reimbursement processes, pricing frameworks, and formulary decision-making
Proven experience leading payer negotiations
Demonstrated ability to operate strategically and influence at a senior level
Demonstrated ability to analyze complex data and translate insights into actionable strategies
Excellent communication, negotiation, and stakeholder management skills
Ability to work effectively in a matrixed organization

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 base salary range for this position is 149,929 – 199.919 CAD.Amgen is proud to have been recognized as one of LinkedIn Top 25 Companies in Canada for career growth. Click for more details. In addition to the base salary, Amgen offers competitive and comprehensive Total Rewards Plans that are aligned with local industry standards.Apply now and make a lasting impact with the Amgen team.careers.amgen.comAs 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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