Market Access Private Insurance Senior Manager

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

• 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
• 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

• 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

competitive and comprehensive Total Rewards Plans that are aligned with local industry standards