Access & Reimbursement Operations Senior Manager

  • Company: Amgen
  • Posted: February 07, 2017
  • Reference ID: R-33662
As a member of the US Value & Access team, the Senior Manager is responsible for ensuring that the execution of access and reimbursement operational functions and/or vendor services meet Amgen business objectives, and for providing valued consultation to the business regarding service options, innovation, modifications and costs.
Coordinate with the Global Strategic Sourcing organization and Access Marketing to lead vendor selection processes, and develop, negotiate, and implement win-win contractual relationships with selected Access and Reimbursement partners.
Work with Access Marketing and selected Access and Reimbursement partners to ensure execution of services meets Amgen stated business objectives.
Participate in contract/Statement of Work (SOW) design and negotiation.
Identify opportunities to advance Amgen US Value and Access strategies, whether they be process or automation enhancements that enhance services and/or reduce costs.
Strategic planning for the future (i.e. Evaluating automation efforts, Patient benefit calls, next injection reminders, medical policy communication, field reimbursement coordination, and future potential products (i.e., instant on-line verification), giving guidance to brand and RAV functions on services, service enhancements, and the costs of approaches.
Work with Access Marketing resources and outsource partners to forecast monthly volume and ensure that partners are adequately staffed and ready to meet service objectives.
Partner performance management and reporting (including financial tracking to plan).
Work with internal partners to ensure all work products meet Amgen legal, regulatory, and compliance standards.
Material Approval and Compliance (MAC) process participation and adherence.
Collaborate with internal and external partners to provide guidance to budgeting process and to report on performance to budget.
Produce budgets for assigned vendor engagements, leveraging vendor data and internal data (patient growth, unit sales, etc) and reporting on budgetary status, and projecting future activity and outside expense based on projected program activity.
Approval of field process exceptions and outsource partner invoices.
Work with the field to address any call center questions or concerns, and optimize core field reporting or provider resources.
Provide key indicator reporting on the effectiveness of partners and drive/participate in weekly, monthly, quarterly, and annual business reviews.
Manage implementation of Medical Benefit Policies.
Execute field resources (i.e. De-Identified SOB via iPad, De-Identified Patient IV Reports, etc).
Administrate Co-Pay Programs, as well as Field and Telephonic nursing program(s).
Basic Qualifications
Doctorate degree and 2 years of Biopharmaceutical Marketing or Access and Reimbursement experience, OR
Master's degree and 4 years of Biopharmaceutical Marketing or Access and Reimbursement experience, OR
Bachelor's degree and 6 years of Biopharmaceutical Marketing or Access and Reimbursement experience, OR
Associate's degree and 10 years of Biopharmaceutical Marketing or Access and Reimbursement experience OR
High school diploma / GED and 12 years of Biopharmaceutical Marketing or Access and Reimbursement experience
Preferred Qualifications
Call center / reimbursement hub management experience preferred, call center / reimbursement partner management, and/or consulting experience.
Previous Access and Reimbursement experience from a program development, marketing, sales, or operational standpoint.
Analytic experience - Microsoft Excel skills (ability to create and troubleshoot calculations).
Project management experience - ability to track complex projects and bring tasks to completion on time and within budget.
Process management experience - the ability to document processes and improve them to eliminate waste.
Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology.
Amgen focuses on areas of high unmet medical need and leverages its expertise to strive for solutions that improve health outcomes and dramatically improve people's lives. A biotechnology pioneer since 1980, Amgen has grown to be one of the world's leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline of medicines with breakaway potential.
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, or disability status.

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