Field Reimbursement Manager- NYC – Lilly

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 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.

Company Overview:

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 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.

Responsibilities:

As part of the Customer Experience HUB at Lilly USA, LLC, the Field Reimbursement Manager (FRM) is a field-based non-promotional role reporting directly to a US Regional Field Director. Field Reimbursement Managers are seen as strong individual contributors displaying leadership skills and business impact with peers and customers. FRMs are subject matter experts in compliantly educating healthcare provider (HCP) staff on Lilly Customer Support Programs (CSP) and patient-specific reimbursement and access needs. The FRM builds and maintains professional relationships with HCP staff in an assigned geography. FRMs must work seamlessly and compliantly in coordination with all Lilly customer support services, specialty pharmacies, and other field teams while supporting patient access. FRMs specific responsibilities include:
• Demonstrating deep knowledge in commercial and government reimbursement/access, as well as deep payer market expertise in their region of the country
• Compliantly communicating with internal stakeholders, specialty pharmacies, and customer support program personnel to navigate the patient access and reimbursement experience
• Demonstrating strong problem-solving skills related to complex patient access challenges across payers and specialty pharmacies
• Educating HCP staff on prior authorization requirements, coverage status, and payer appeals requirements, processes and timelines
• Training HCP staff on customer support programs for the supported Lilly portfolio
• Condensing complex issues into simple solutions to improve the customer experience
• Educating office staff regarding patient financial assistance and alternate funding options for the uninsured and underinsured.
• Displaying knowledge of specialty pharmacy core services and connectivity
• Displaying competency in both ‘buy & bill’ and specialty pharmacy supply, including relevant medical and pharmaceutical benefit reimbursement process
• Leveraging expertise and skills to improve competencies of peers

Basic Qualifications:
• Bachelor’s Degree
• Minimum three years of work experience in any of 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 with physician practices, navigating patient assistance programs and similar 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 communication as well as presentation skills
• Ability to manage expenses within allocated budgets
• Live within or 50 miles from assigned geography

Travel Percentage:

Approximately 40%

Territory Includes: NY, NJ

Lilly currently anticipates that the base salary for this position could range from between $72,000 to $194,700 and will depend, in part, on the successful candidate’s qualifications for the role, including education and experience. Full-time equivalent employees also will be eligible for a company bonus (depending, in part, on company and individual performance). In addition, Lilly offers a comprehensive benefit program to eligible employees, including eligibility to participate in a company-sponsored 401(k); pension; vacation benefits; eligibility for medical, dental, vision and prescription drug benefits; flexible benefits (e.g., healthcare and/or dependent day care flexible spending accounts); life insurance and death benefits; certain time off and leave of absence benefits; and well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities).Of course, the compensation described above is subject to change and could be higher or lower than the range described above. Further, Lilly reserves the right to amend, modify, or terminate its compensation and benefit programs in its sole discretion and Lilly’s compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees.

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.

Our employee resource groups (ERGs) offer strong support networks for their members and help our company develop talented individuals for future leadership roles. Our current groups include: Africa, Middle East, Central Asia Network, African American Network, Chinese Culture Network, Early Career Professionals, Japanese International Leadership Network (JILN), Lilly India Network, Organization of Latinos at Lilly, PRIDE (LGBTQ + Allies), Veterans Leadership Network, Women’s Network, Working and Living with Disabilities. Learn more about all of our groups.

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