Amjad Allahham
Summary
Motivated Market Access Manager with proven expertise in developing and executing comprehensive market access strategies, navigating complex payer landscapes, evaluating pricing strategies to ensure long-term sustainability and market competitiveness and achieving favorable reimbursement outcomes. Adept at cross-functional collaboration, health economics and outcomes research (HEOR), and pricing negotiations to maximize product value and market penetration
Overview
15
15
years of professional experience
1
1
Certification
Work History
Market Access Manager
Triangle Medical Trading
10.2022 - Current
- Identify, Build and maintain healthy & effective relationships with all relevant health insurance providers and other relevant industry stakeholders (e.g., authorities, and other decision-makers).
- Lead & development of market access strategies in order to ensure that the optimal reimbursement approach is adopted for new and existing products with various public and private payers
- Work closely with the commercial teams & supporting accounts in resolving issues or concerns, developing ethical & customer –oriented reimbursement strategies, and communicating Payer criteria, terms an
- Identify knowledge gaps and ensure value communication, increase awareness and education to health insurance relevant stakeholders by providing input about relevant scientific and clinical data
- Develop and implement strategies and plans to assure inclusion of the products of the company and its principals in relevant plans of all major health insurance companies in the UAE.
- Lead the tender process and contribute to sales and business growth through successful tendering and contracting – in line with the growth objectives of the company business.
- Managed complex tender processes, including bid preparation, submission, and negotiation, leading to successful contract awards for our products.
- Support the regulatory affairs team in obtaining registration and pricing approvals as well as reimbursement codes (DDC, DOH, etc.)
- Coordinated with cross-functional teams to gather necessary information, ensuring comprehensive and competitive tender submissions.
- Monitored and analyzed evolving healthcare policy, reimbursement trends, and legislative changes to anticipate market access implications and adapt strategies
Senior Officer – Pharmacy Benefits Management (PBM) & Wellness
Abu Dhabi National Insurance Company (ADNIC)
03.2019 - 09.2022
- Day to day operation of the team to ensure that implemented and designed work processes are compliant with the department-established standards and procedures, continuous improvement by identity operational gaps and propose recommendations and solutions.
- PBM complaints Management TAT and analysis indication edit and decrease the unnecessary override.
- Conduct planned Etqan onsite Audit visits to various ADNIC pharmacy providers to ensure the compliance with PBM regulations and procedures in addition to its related reports.
- Identified the right wellness programs to educate, engage and activate ADNIC members to achieve health improvement goals
- Participated in a variety of planning and development activities, including the disease awareness programs for the purpose of creating short- and long-range plans for programming support to the clients
Senior Pharmacist
Mediclinic Al-Noor Hospital Pharmacy
02.2015 - 02.2019
- Implemented medication therapy management services, identifying cost-saving opportunities for patients and improving adherence rates.
- Conducted inspections of medication storage and drug administration to ensure it is in line with laid down standards.
- Documented incident reports and adverse drug reactions when needed and required in line with MME policies.
- Mentored junior pharmacists to develop their clinical skills, fostering a supportive learning environment within the pharmacy team.
- Coached staff on how to properly dispense medications, fill orders and serve customers.
- Counseled patients on proper use of medication and potential drug interactions.
Staff Pharmacist
Burjeel Hospital Pharmacy
04.2014 - 12.2014
- Monitors for drug interactions, duplication of therapy, allergies, adverse reactions, appropriate formulary alternatives and identifies medications.
- Ensured consistent delivery of high-quality pharmaceutical services through adherence to established standards and guidelines.
- Communicated regularly with physicians, nurses, insurance companies and managed care organizations.
- Regularly stocked shelves, rotated stock and checked for expired medications.
Medical claims processor
National Health Insurance Company (DAMAN)
05.2010 - 03.2014
- Evaluated medical necessity and consistency of diagnosis, procedure and drug codes and descriptions stated on the claims according to accepted medical coding rules and guidelines.
- Ensured accurate application of contractual prices and discounts, schedule of benefits, collection of deductibles, co-payments, observance of policy limits, and adherence to claims submission protocols.
- Escalated observations about providers’ trends plus report their fraud and abuse to the supervisor in order to improve the quality of providers’ claims.
- Consistently, efficiently and effectively worked on achieving daily targets quality benchmarks, and other key performance indicators (KPIs).
- Researched and resolved complex medical claims issues to support timely processing.
Pharmacist Intern
New Al Noor Pharmacy
12.2010 - 12.2012
- Counseling the patient concerning the safe and appropriate use of the medications.
- Contributed to a positive work environment through effective teamwork and collaboration with pharmacy staff members.
- Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
- Monitored inventory levels and notified pharmacist of items requiring reorder.
Education
Master’s degree - Health Economics and Pharmacoeconomics
UPF-BSM
01.2026
Bachelor’s degree - Pharmacy
Al Azhar University
09.2007
Skills
- Market Access & Reimbursement: Pricing Strategy, Reimbursement Strategies, Payer Relations, HTA, Value Dossier Development, Formulary Management, Contract Negotiation, Patient Access Programs, Tender Management, Global Market Access
- Health Economics & Outcomes Research (HEOR): Economic Modeling, RWE, Outcomes Research, Health Economics, Budget Impact Models, Cost-Effectiveness Analysis
- Analytical & Strategic: Market Landscape Analysis, Competitive Intelligence, Strategic Planning, Data Analysis, Forecasting, Problem-Solving, Business
- Communication & Interpersonal: Stakeholder Management, Presentation Skills, Negotiation, Cross-functional Leadership, Written & Verbal Communication, Influencing
- Excellence knowledge of the reimbursements system, health insurance policies and inclusion criteria
Certification
- HAAD Pharmacy License, June 2013.
- MOH- Palestine license for pharmacy practice, June 2009.
References
Available upon request
Languages
English
Arabic
Timeline
Market Access Manager
Triangle Medical Trading
10.2022 - Current
Senior Officer – Pharmacy Benefits Management (PBM) & Wellness
Abu Dhabi National Insurance Company (ADNIC)
03.2019 - 09.2022
Senior Pharmacist
Mediclinic Al-Noor Hospital Pharmacy
02.2015 - 02.2019
Staff Pharmacist
Burjeel Hospital Pharmacy
04.2014 - 12.2014
Pharmacist Intern
New Al Noor Pharmacy
12.2010 - 12.2012
Medical claims processor
National Health Insurance Company (DAMAN)
05.2010 - 03.2014
Bachelor’s degree - Pharmacy
Al Azhar University
Master’s degree - Health Economics and Pharmacoeconomics
UPF-BSM
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