Health Policy & Reimbursement Executive Director

Role Summary

Health Policy & Reimbursement Executive Director who leads development and implementation of US reimbursement strategies across multiple therapeutic areas and the biosimilars portfolio. Works cross-functionally to identify barriers to entry, provides broad reimbursement-related guidance for inline products, and mitigates proposals that could limit patient access. Communicates policy impacts to senior leadership and collaborates with government affairs and trade associations to influence federal health policy and reimbursement objectives.

Responsibilities

• Lead development and implementation of reimbursement strategies for federal US payer issues across multiple therapeutic areas and the company’s biosimilar portfolio.
• Identify and resolve barriers to entry for pipeline products/therapies and provide broad reimbursement-related advice for inline products, including mitigation strategies in response to proposals affecting access to Amgen therapies.
• Review and analyze complex policy proposals including regulatory proposals and legislative text; communicate impact to internal audiences (government affairs, commercial, regulatory, clinical, and senior executives).
• Collaborate with government affairs to ensure alignment of strategy, talking points and messaging to officials, agencies, and third parties.
• Engage with major trade associations on corporate policy priorities, including federal drug pricing policy.
• Conduct research and integrate clinical, market and payer data to inform engagement on reimbursement objectives; provide regular updates to senior executives and key partners on reimbursement and US health policy topics.

Qualifications

• Doctorate degree & 6 years of health policy or reimbursement experience OR
• Master’s degree & 10 years of health policy or reimbursement experience OR
• Bachelor’s degree & 12 years of health policy or reimbursement experience AND
• 6 years of managerial experience directly managing people and/or leadership experience leading teams, projects, programs or directing the allocation of resources

Preferred Qualifications

• Experience with Congressional Budget Office style modelling, cost estimates, and analyses
• Experience/relationships with key agencies including HHS, CMS, and CBO
• Deep understanding of Federal (US) and/or commercial payer environment including (1) coverage, coding, and reimbursement; (2) health policy; (3) federal executive and legislative health policy processes
• Broad and deep experience in federal health policy issues – Medicare, Medicaid, and national health programs/reform
• Deep understanding of the US biosimilars marketplace and its history/evolution
• Experience reviewing clinical literature to understand payer implications and develop submissions for Federal programs like Medicare
• Strong communication skills, including interpersonal collaboration and comfortable oral/written presentation to senior executives
• Proficiency with modeling and cost estimates/analysis; ability to translate complex data into concise 1-pagers and presentations
• Product commercialization experience desirable (direct or consultant)
• Experience in Amgen therapeutic areas preferred (health policy or product)
• Experience in multi-stakeholder groups (trade associations or disease-specific groups)
• People management experience preferred