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. Were looking for people who are determined to make life better for people around the world.
Responsibilities :
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,processesand timelines
* Training HCPstaff on customer support programs for 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 expertise and skills to improve competencies of peers
BasicQualifications :
* Bachelors Degree
* Minimum three years of work experience in the following areas:
* Patient Navigation
* Payer
* Reimbursement
* Medical billing and coding
* Specialty Pharmacy
* Pharmaceutical Sales
* Qualified candidates must be legally authorized to be employed in the United States. Lilly does not anticipate providing sponsorship for employment visa status (e.g., H-1B or TN status) for this employment position
Additional Skills/Preferences :
* Demonstrated 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
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 ( Lilly_Recruiting_Compliance@lists.lilly.com ) 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.
Indianapolis, IN
Eli Lilly and Company discovers, develops, manufactures, and markets pharmaceutical products worldwide. The company operates in two segments, Human Pharmaceutical Products and Animal Health Products. It offers endocrinology products for the treatment of diabetes; osteoporosis in postmenopausal women and men; and human growth hormone deficiency and pediatric growth conditions.
The company also provides neuroscience products for the treatment of depressive disorder, diabetic peripheral neuropathic pain, anxiety disorder, fibromyalgia, and chronic musculoskeletal pain; schizophrenia; attention-deficit hyperactivity disorder; obsessive-compulsive disorder, bulimia nervosa, and panic disorder; and positron emission tomography imaging of beta-amyloid neurotic plaques in adult brains, as well as migraine prevention. In addition, it offers immunology products for the treatment of rheumatoid arthritis and plaque psoriasis; oncology products to treat non-small cell lung, colorectal, head and neck, pancreatic, metastatic breast, ovarian, bladder, and metastatic gastric cancers, as well as malignant pleural mesothelioma; and cardiovascular products to treat erectile dysfunction and benign prostatic hyperplasia, and acute coronary syndrome.
Further, the company provides animal health products, such as cattle feed additives; leanness and performance enhancers for swine and cattle; antibiotics to treat respiratory and enteric diseases in swine and poultry; anticoccidial agents for poultry use; and chewable tablets that kill fleas and prevent heartworm diseases. Additionally, it offers vaccines to prevent bordetella, Lyme disease, rabies, and parvovirus.
The company has collaboration agreements with Daiichi Sankyo Co., Ltd.; Incyte Corporation; Pfizer Inc.; AstraZeneca; Nektar Therapeutics; NextCure, Inc.; Dicerna Pharmaceuticals; AC Immune SA; and Avidity Biosciences, Inc. Eli Lilly and Company was founded in 1876 and is headquartered in Indianapolis, Indiana.