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Field Reimbursement Manager, Oncology

Boston, Massachusetts

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Req ID R-951 Title Field Reimbursement Manager, Oncology City Boston State / Province Massachusetts Country United States

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.

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. #WeAreLilly

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. The FRM is seen as an elite member of the Oncology Field Reimbursement Team based on their leadership skills and business impact with peers and customers. The FRMs are subject matter experts in educating and problem-solving patient access and reimbursement issues and help Healthcare Providers offices understand how Lilly Customer Support Programs (CSP) can assist patients. The FRM will work with assigned HCP accounts and integrated delivery networks to build and maintain relationships with office support staff. The FRM must work seamlessly and in coordination with all Lilly customer support services, specialty pharmacies, and other field teams while supporting patient access. 

The FRM will manage daily activities to support patient access to Lilly products in healthcare provider’s offices including:

  • Demonstrate deep knowledge in reimbursement and access across many Customer Support Programs and the subject matter expert in their region of the country
  • Links with sales representatives, the specialty pharmacy (SP) advisory team, customer support programs, and national/regional account managers to escalate and resolve local payer issues
  • Demonstrates strong problem-solving skills related to complex patient access challenges across payers and specialty pharmacies
  • Design, modify and execute peer leadership and mentoring roles
  • Able to condense complex issues into simple solutions ideas by working with peers and internal stakeholder to improve the customer experience
  • Educate office staff about financial assistance and alternative funding options for the uninsured and underinsured
  • Educate providers on reimbursement requirements, coverage status, and payer appeals requirements, processes and timelines
  • Knowledge of all phases of specialty pharmacy core services and connectivity to assist with the complexity of patient access
  • Interact directly with specialty pharmacies to assure a positive customer experience
  • Review benefits investigation results with office staff upon request once patient authorization has been obtained
  • Member of internal advisory teams to provide customer insights that will lead to customer solutions
  • Knowledge of healthcare structures, payment systems, and reimbursement methodology

Basic Qualifications :

  • Education – Bachelor’s Degree required
  • Experience – Minimum three years of relevant work experience in the following areas:
    • Previous Field Reimbursement Manager
    • Patient Navigation
    • Payer Access
    • Medical billing and coding
    • Specialty Pharmacy
    • Infused and Oral product reimbursement and access

Additional Skills / Preferences:

  • Academic hospital experience (preferably Oncology)
  • Demonstrated ability to conduct field-based customer support and consultation related to payer coverage and payment processes
  • Territory management skills/experience
  • Experience working with provider offices such as a physician practice, patient assistance programs, or similar pharmaceutical support program preferred
  • 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 and Salesforce platform
  • Strong written and verbal communications as well as presentation skills
  • Certified Professional Coder
  • Ability to manage expenses within allocated budgets

Territory Specifics:

  • The Northeast FRM position will require roughly 40% travel
  • Territory includes:  NY, CT, MA, RI, VT, NH and ME
  • Location – Field Based – Northeast US - Must live in geography

Additional Information:

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.

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.

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.

To submit resume, visit https://www.lilly.com/careers and apply to Req ID R-951.

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.

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