Market Access Private Insurance Senior Manager

Career Category

Value and Access

Job Description

Join Amgen’s Mission of Serving Patients

At 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 Manager

Reporting to: Director, Value & Access

What you will do

Let’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 HERE for more details. In addition to the base salary, Amgen offers competitive and comprehensive Total Rewards Plans that are aligned with local i