Consultant - Field Reimbursement Manager

Job Description

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our 39,000 employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world.

Overview:

As part of the Consumer Experience HUB at Lilly USA, LLC, the Field Reimbursement Manager (FRM) is a field-based non-promotional role within Lilly Patient Services reporting directly to a US Regional Field Director. Field Reimbursement Managersareseen asstrong individual contributors displayingleadership skills and business impactwith peers and customers. FRMsare subject matter experts incompliantlyeducating healthcare provider(HCP)staffon Lilly Customer Support Programs (CSP) and patient-specific reimbursement and access needs. The FRMbuildsandmaintainsprofessionalrelationshipswith hcp staff in an assigned geography. FRMsmust work seamlessly and in coordination with all Lilly customer support services, specialty pharmacies, and other field teams whilesupporting patient access.

FRMs specific responsibilities include:

• Demonstratingdeep knowledge in commercial and government reimbursement/access,as well asdeep payer market expertisein their region of the country
• Compliantly communicating with internal stakeholders,specialty pharmacies,andcustomer support program personnel to navigate thepatientaccess and reimbursementexperience
• Demonstrating strong problem-solving skillsrelated to complex patient access challenges across payers and specialty pharmacies
• EducatingHCP staffon prior authorization requirements, coverage status, and payer appeals requirements, processes and timelines
• Training HCPstaffoncustomer supportprogramsfor the Lilly Bio-Medicines portfolio
• Condensingcomplex issues into simple solutions toimprove the customer experience
• Educating office staff regardingpatient financial assistance and alternatefunding options for the uninsured and underinsured.
• Displaying knowledgeof specialty pharmacy core services and connectivity
• Leveraging expertiseand skills to improve competencies of peers

BasicQualifications :

• Bachelor’s Degree

• Minimum three years of work experience in the following areas:

• Patient Navigation
• Payer
• Reimbursement
• Medical billing and coding
• Specialty Pharmacy
• Pharmaceutical Sales

Additional Skills/Preferences :

• D emonstrated ability to conduct field-based customer support and education related to payer coverage and payment processes

• Experience working withphysician practices,navigating patient assistance programs andsimilar pharmaceutical support programs
• Understand HIPAA rules and regulations related to patient privacy
• Excellent computer skills, including knowledge of Microsoft Office products including Outlook, Excel, Word, and Power Point
• Strong written and verbal communications as well as presentation skills
• Ability to manage expenses within allocated budgets
• Live within or 50 miles from assigned geography

AdditionalInformation :

• TravelPercentage :10-25%

Eli Lilly and Company, Lilly USA, LLC and our wholly owned subsidiaries (collectively “Lilly”) are committed to help individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at Lilly, please email Lilly Human Resources ( [email protected] ) for further assistance. Please note This email address is intended for use only to request an accommodation as part of the application process. Any other correspondence will not receive a response.

Lilly is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.