Executive Director, Patient Access & Reimbursement (Medical Benefit) Job at Amgen

National Director - Patient Access

Location

United States , Los Angeles

Salary:

206734.45 - 279699.55 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree and 4 years of Access and Reimbursement experience
Master's degree and 7 years of Access and Reimbursement experience
Bachelor's degree and 9 years of Access and Reimbursement experience

Job Responsibility

Foster a culture of accountability, excellence, and inclusivity
Oversee hiring, onboarding, training, performance management, and succession planning
Ensure competencies in field-based reimbursement, buy-and-bill, patient onboarding, case management, and strategic account leadership
Drive the national patient access strategy across specialty medications
Align and oversee operations in partnership with cross-functional stakeholders
Ensure rapid and seamless patient onboarding, benefit verification, prior authorization support, denials/appeals resolution, and affordability assistance
Partner with Brand Planning, Sales, Medical Affairs, and Trade to ensure aligned communication and tactical coordination
Serve as the Lead representing access priorities in brand planning and execution
Align with Field Sales leadership to streamline pull-through initiatives and provide insights to optimize provider engagement
Maintain oversight of all patient services KPIs, including speed-to-therapy, time-to-fill, adherence, and hub/SP operational metrics

What we offer

Health and welfare plans for staff and eligible dependents
Financial plans with opportunities to save towards retirement or other goals
Work/life balance
Career development opportunities
Retirement and Savings Plan with generous company contributions
Group medical, dental and vision coverage
Life and disability insurance
Flexible spending accounts
Discretionary annual bonus program
Sales-based incentive plan

Fulltime

Director - Market Access Payer & Provider Strategic Contract Analytics

At GSK, we are focused on uniting science, technology, and talent to get ahead o...

Location

United States , Philadelphia; Durham

Salary:

Not provided

GSK

Expiration Date

Until further notice

Requirements

Bachelor's degree in quantitative field (e.g., Statistics, Economics, Data Science, Mathematics, Engineering, or related)
7+ years of experience in US Market Access analytics, including payer/PBM/provider contracting analytics
Demonstrated experience with advanced analytics, predictive modeling, or data science applications in a Market Access setting
Understanding of payer and provider contracting dynamics, including formulary access, reimbursement and utilization management
Experience working with pharmacy and medical benefit data, including claims and lives data
Proven ability to influence senior stakeholders and translate complex analytics into business strategy
Experience managing cross-functional initiatives and external vendors

Job Responsibility

Lead the development and evolution of advanced analytics capabilities that support payer and provider contracting strategies across pharmacy and medical benefit products
Build and apply predictive models, simulation frameworks, and scenario-based analyses to evaluate pricing, access, and reimbursement strategies, and quantify their impact on patient access, utilization, and market performance
Partner closely with Market Access Strategy and Strategic Accounts teams to inform negotiation approaches and shape pre-deal strategy
Establish and oversee key performance indicators and measurement frameworks that enable robust evaluation of contract performance, delivering ongoing performance insights and executive-level reporting that highlight risks, opportunities, and areas for optimization
Translate post-deal analytics into actionable recommendations that improve contracting effectiveness and business outcomes
Drive innovation in data integration by leveraging real-world data sources, including claims and lives data, formulary information, and external datasets, while evaluating and implementing AI-enabled tools and automation solutions to improve analytical efficiency and scalability
Collaborate cross-functionally with teams across Market Access, Finance, and Commercial Insights to align analytical outputs with business needs, translating complex business questions into clear analytical requirements and ensuring effective execution across internal teams and external partners
Manage relationships with analytics vendors and data providers to deliver high-quality, innovative solutions
Monitor and assess the impact of healthcare policy changes, legislation, and evolving payer and provider dynamics on access and contracting strategy, and provide analytical support for medical benefit strategies, including provider reimbursement and buy-and-bill models
Serve as a thought leader by bringing external perspectives and industry best practices to advance Market Access analytics capabilities

What we offer

Competitive base salary
Annual bonus based on company performance
Flexible working options available for most roles
Learning and career development
Access to healthcare & wellbeing programmes
Employee recognition programmes

Fulltime

Senior Director, Clinical Development, Oncology

Moderna is seeking an experienced oncology drug developer lead Clinical Developm...

Location

United States , Cambridge, Massachusetts; Princeton, New Jersey

Salary:

210900.00 - 379200.00 USD / Year

Moderna

Expiration Date

Until further notice

Requirements

Medical Doctor (M.D.), Doctor of Osteopathy (D.O.) or non-US equivalent of M.D. degree with relevant hematology and/or oncology in an academic or hospital environment
Experience in oncology drug development demonstrated by at least 3 years in the biopharmaceutical industry
In exceptional cases, at least 5 years of experience as an early-phase clinical trialist in academia would be considered
Medical oncology and/or hematology fellowship training is preferred
Experience in oncology and/or hematology immunotherapeutics is preferred
Experience in conducting translationally rich oncology and/or hematology clinical trials is highly valued
Demonstrated track record in leading cross-functional teams and work streams (e.g., translational medicine, biostatistics, regulatory, pre-clinical pharmacology, pharmaceutical sciences)
Outstanding verbal and written communication skills, in addition to excellent organizational skills
Understanding of the entire drug development process, including clinical and non-clinical study design and execution
Thorough understanding of clinical research methodology and biostatistics principles, to facilitate innovative and efficient clinical trial design, and clinical development plans with clear data-driven decision rules

Job Responsibility

Collaborate in the development and execution of the Clinical Development Plan (CDP) for assigned oncology assets
Integrates scientific rationale, regulatory requirements, product development plan and commercial goals to optimize clinical study designs aligned with the Integrated Development Plan (IDP) and CDP
Generates data and evidence required to determine a medicine’s potential efficacy, safety profile, key areas of product differentiation and value to patient in the shortest possible timeframe
Establishes expeditious clinical development timelines, incorporating key decision points and Go/No Go criteria for the CDP
Collaborate effectively with program counterparts in Translational Medicine, Pharmacometrics, Research, Biostatistics, Clinical Operations, Regulatory, Commercial, and other functional areas as needed
Contributes to and partners with the development of strategic initiatives, such as organizational initiatives within Clinical Development
Plays an active role in the technical and leadership development of Clinical Scientists
Employs visioning and strategic thinking to provide expert leadership of disease/therapeutic area specific strategy for a drug(s) or program(s)
Leads selected clinical development projects for products/franchise of compounds
Able to lead and influence across a diverse range of scientific external experts (e.g. regulators, payors, CROs, consultants, investigators) in order to deliver integrated clinical development strategy, which align to the business strategy and achieves mutual goals related to patient need

What we offer

Best-in-class healthcare coverage, plus voluntary benefit programs to support your unique needs
A holistic approach to well-being, with access to fitness, mindfulness, and mental health support
Family planning benefits, including fertility, adoption, and surrogacy support
Generous paid time off, including vacation, volunteer days, sabbatical, global recharge days, and a discretionary year-end shutdown
Savings and investment opportunities to help you plan for the future
Location-specific perks and extras
Eligible for an annual discretionary bonus, other incentive compensation, or equity award

Fulltime

ServiceNow SecOps Developer

As a ServiceNow Software Engineer, you will lead, design, develop, configure, an...

Location

India , Bengaluru

Salary:

Not provided

BioLife Plasma Services

Expiration Date

Until further notice

Requirements

Bachelor’s degree or higher in Computer Science/Information technology
or relevant work experience
3+ years of experience in architecting, designing and developing ServiceNow solutions (especially, Integrated Risk Management and SecOps modules)
2+ experience with ServiceNow Service Catalog module is a must
Strong understanding of Governance, Risk, and Compliance and Security Operations processes
Strong expertise with ServiceNow platform development, especially Service Catalog, Flow Designer, and scripting languages
Proficient in creating Server-side and Client-side scripts, Business Rules, UI Policies, UI Actions, and ACLs
Excellent communication skills with ability to communicate complex technical concepts and align organization on decisions
ServiceNow System Administrator certification (required)
Strong analytical and problem-solving skills

Job Responsibility

Develop and customize Service Catalog items, workflows, and integrations using Generic Workflow, Flow Designer, scripting, and APIs
Design and implement scalable solutions focused on the ServiceNow Service Catalog module
Develop Service Catalog items, workflows, and customizations using Generic Workflow, Flow Designer, scripting, APIs, etc
Collaborate with Business Analysts, Product Owners, and stakeholders to understand requirements and translate them into technical solutions
Enhance user experience and implement automation to optimize service delivery
Maintain and update Service Catalog offerings to ensure scalability and usability
Build and support integrations between ServiceNow and third-party systems to enhance workflow automation
Document all configurations, workflows, and processes to ensure clear communication and future scalability
Present product demos and technical showcases for stakeholders
Collaborate with stakeholders to understand requirements and deliver tailored solutions

What we offer

Competitive Salary + Performance Annual Bonus
Flexible work environment, including hybrid working
Comprehensive Healthcare Insurance Plans for self, spouse, and children
Group Term Life Insurance and Group Accident Insurance programs
Health & Wellness programs including annual health screening, weekly health sessions for employees
Employee Assistance Program
5 days of leave every year for Voluntary Service in addition to Humanitarian Leaves
Broad Variety of learning platforms
Diversity, Equity, and Inclusion Programs
No Meeting Days

Fulltime

Day-to-Day Primary Teacher

Day-to-Day Primary Teacher | Plymouth Location: Plymouth & Surrounding Areas H...

Location

United Kingdom , Plymouth

Salary:

130.00 - 160.00 GBP / Day

Randstad

Expiration Date

July 11, 2026

Requirements

Qualified Teacher Status (QTS) is a must
A can-do attitude and the ability to adapt to different classroom environments quickly
Strong classroom management skills to keep pupils on track
A passion for delivering high-quality education

Job Responsibility

Deliver high-quality education
Inspire children
Adapt to different classroom environments quickly
Work day-to-day cover across various high-quality schools in Plymouth
Arrive and deliver lessons with ready-to-go resources provided by the schools

What we offer

True Work-Life Balance: No planning, no prep, and no stay-late meetings
Total Flexibility: Work the days that suit your lifestyle
Ready-to-Go Resources: All lesson materials are provided by the schools
Explore Plymouth Schools: Gain experience in a variety of local settings
Referral Bonus
PAYE
training and education
Safeguarding & Prevent

Fulltime

!

Nursery Class Teaching Assistant

We are seeking a dedicated Full-Time Nursery Teaching Assistant to join our vibr...

Location

United Kingdom , Cornwall

Salary:

Not provided

Zen Educate

Expiration Date

Until further notice

Requirements

Dedicated
ability to support children aged 2 to 4
ability to foster a caring and inclusive environment
ability to assist in planning and setting up engaging activities
ability to observe and monitor children's progress
ability to work collaboratively with teachers
ability to support children's social and emotional development
ability to assist with organisation of resources
ability to engage in continuous professional development

Job Responsibility

Support children aged 2 to 4 within the nursery setting
Assist in the planning and setting up of engaging activities
Observe and monitor children's progress
Work collaboratively with teachers to support classroom routines
Support children's social and emotional development
Assist with the organisation of resources and learning environments
Engage in continuous professional development

What we offer

Higher pay
Fast-track interviewing

Fulltime

Senior Manager, Stars and Clinical Initiatives

The Senior Manager, Stars and Clinical Initiatives is responsible for developing...

Location

United States , Los Angeles

Salary:

135136.00 - 216218.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree
At least 7 years of Medicare Stars experience including experience driving measurable improvement in quality metrics and Star ratings within a health plan
At least 5 years of leadership experience with proven ability to motivate and develop team members
At least 5 years of leading staff, supervisor/management experience
Experience leading and supporting initiatives aimed at transforming care delivery and improving health outcomes for vulnerable populations through a service-oriented, mission-driven approach
Experience leading teams, projects, or cross-functional groups
Deep knowledge of Stars, Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPs), and related quality improvement programs
Strong knowledge of CMS and state regulatory standards and industry trends
Excellent analytic skills to conduct analysis and develop recommendations with proficiency in Stars data analysis, performance modeling, and reporting
Ability to work across functions and build strong collaboration and partnership with diverse internal and external stakeholders

Job Responsibility

Lead the development, implementation, and continuous improvement of clinical and quality improvement programs that support D-SNP and Covered California Star performance
Collaborate closely and build cross-functional alignment with internal teams to develop and implement evidence-based best practices
Serve as Medicare and Covered California Stars subject matter expert and strategic thinker while also being a hands-on, operational and execution-focused leader
Analyze data, distill actional insights, and incorporate into program evaluations and data-driven continuous improvement strategies
Deliver reports to required committees and workgroups
Stay updated on industry trends and best practices including around the application of Artificial Intelligence (AI) tools to improve quality of care, member experience, and member outcomes
Support the adoption of new technology and innovation to elevate Stars performance and member outcomes
Engage with external stakeholders including vendors, community organizations, and other solution providers to build new partnerships that elevate Stars performance and services for members
Identify and manage Centers for Medicare and Medicaid Services (CMS) and state regulatory updates and risks to ensure compliance with standards
Execute risk mitigation activities

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Classroom Support

Are you passionate about supporting young people and helping them reach their fu...

Location

United Kingdom , Yelverton

Salary:

92.00 - 100.00 GBP / Day

Randstad

Expiration Date

July 09, 2026

Requirements

Supportive Mindset: A genuine desire to assist students with diverse learning needs, including SEND or SEMH
ECTs & Graduates Welcome: This is an excellent way for Early Career Teachers to gain varied experience or for graduates to build a portfolio before applying for teacher training
Strong Communication: The ability to explain tasks clearly and build rapport with students aged 11-16
Proactive Attitude: Someone who can spot where help is needed and take initiative within the classroom

Job Responsibility

Providing 1:1 or small group support to students who need extra help
Assisting the class teacher with lesson preparation and classroom management
Helping to create an inclusive and encouraging learning environment
Supporting students with their literacy, numeracy, and social skills

What we offer

PAYE
Referral Bonus
training and education

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Executive Director, Patient Access & Reimbursement (Medical Benefit)

Job Description

Job Responsibility

Requirements

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