Associate – Field Reimbursement – Immunology, Spokane, WA

Industry:

Company: Eli Lilly and Company

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.

Actual compensation will depend on a candidate’s education, experience, skills, and geographic location. The anticipated wage for this position is
$72,000 – $196,900

Overview/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. FRMs are 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, infusion centers 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
• Demonstrating deep knowledge on reimbursement and access processes for both medical and pharmaceutical benefit adjudication
• Compliantly communicating with internal stakeholders, specialty pharmacies, infusion centers 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 product access channels
• 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 alternate sites of care and their processes (e.g. Specialty Pharmacies, Infusion Centers)
• 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

Additional Preferences:

• Experience in Immunology reimbursement
• 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

Additional Information:

• Geography: Candidates must live inside the territory or within 50 miles of the territory or be willing to relocate.
• Travel: 40-60% to visit customer offices, meetings and trainings

Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form (https://careers.lilly.com/us/en/workplace-accommodation) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and 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.

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).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.

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