Skip Navigation

Search Jobs

Pricing, Reimbursement & Access Manager (PRA)

48423
Pricing, Reimbursement & Access Manager (PRA)
Riyadh
Riyadh
Europe; Middle East; Africa
Saudi Arabia
Lilly is a global healthcare leader that unites caring with discovery to make life better for people around the world. We were founded more than a century ago (1876) by a man, Colonel Eli Lilly who was committed to creating high-quality medicines that meet real needs, and today we remain true to that mission in all our work.

Across the globe, Lilly employees work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to communities through philanthropy and volunteerism.

Eli Lilly Saudi Arabia has been present within the Kingdom for over 20 year and has its Head Office located in Riyadh. We are a diverse team of over 180 employees in Saudi Arabia who are committed to bringing our portfolio of life-changing products to our patients, improving patient access to them and supporting initiatives that contribute to better and healthier lives for the people in the Kingdom. We have a long, proud heritage of strengthening the communities where we work and live, and are particularly proud of our KSA Lilly Day of Service volunteer program.

Job purpose

The primary purpose of this role is to assist in securing market access via demonstrating the value of Lilly products throughout the reimbursement life cycle.

The PRA Manager will work with SAMETA Corporate Affairs Directors and PRA / KAM Leaders to identify top risks and opportunities for their specific geography. He/she will be responsible for implementing the strategic plan for access, developing best-in-class product and pricing submissions and/or re-submissions to national/ regional bodies and private/ local/ hospital payers/insurers. The PRA Manager owns the value proposition/Payer Value message of Lilly products to payers at all levels, throughout the product lifecycle. Finally, The PRA Manager is responsible for planning & evaluating Health Economic (HE) data, in consultation with the Regional Health Outcomes Team, to tailor quality health-economic data and supporting HE arguments, on time and on budget, to support the reimbursement of the products across the Lilly portfolio.

Main Accountability/responsibility

Foundational

Payer Marketing

  • A solid understanding of Global Brand Payer Strategies for prioritized products for respective business unit and ability to incorporate into local strategy/deliverables;
  • Ability to provide local payer insights back into the product/Payer strategies through involvement in cross-functional brand teams and the brand planning process;
  • Ability to understand, and communicate internally, payer customer needs and insights for customers at national/regional/hospital level (voice of the customer);
  • Tailoring and testing evidence-based value messages using payer messaging processes and based on the payer need(s), benefit and a reason to believe that meets their criteria for credibility and business relevance
  • Addressing local payer needs by drawing on / supporting the selection of the most appropriate tools and information from available Toolkits and shares Best Practices to the Toolkit for the benefit of other affiliates
  • Developing and supporting pricing / reimbursement business strategies based on modeling, including launch and post-launch alternative pricing strategies (APS) as well as product development strategies (indication, dosage, potential payer prioritization, sequence launching, etc…)

Submissions

  • Coordinating and partnering with cross-functional teams (CFT) to develop best in industry formulary submissions to national / regional drug lists and private / local / hospital insurers for therapeutic areas of responsibility
  • Coordinating and partnering with cross functional teams (CFT) to carry out prelaunch activities, monitor the progress of submissions and support the resubmission process
  • Assisting in the development of Payer Partnership Programs and other relevant tools based on Health Outcomes / Medical data and assist in the cross-affiliate use of dossiers to appropriately support reimbursement and access at all levels (national and sub-national)
  • Assisting affiliates in obtaining needed data / information from other affiliates and / or Corporate Centres (Pricing International Business Unit (IBU), GSP, PRA Managers, Health Outcomes IBU, New Product Planning, Business Units Marketing, etc…)
  • Sharing successes and failures with other affiliates

Cross-functional Integration

  • Identifying, sharing and understanding business implications for policy developments relevant to PRA and / or a product’s access
  • Liaising with and supporting corporate or affiliate in lobbying efforts and integrated campaigns on PRA issues
  • Collaborating closely with KAM team to support all institutional access efforts

Professional Development:

  • Keeping up to date on trainings for professional development
  • Ensuring myPM objectives are completed in line with company process
  • Understanding and compliance to all company policies and procedures

Aspiration or Affiliate dependent:

External Customer Management

  • Deep understanding of country /geography territory pharmaceutical and economic environment, and HTA process
  • Identifying and establishing relationships with key decision makers for market access, reimbursement and pricing

Integration with Payer field force (KAMs)

  • Incorporation of Strategic Account Management principles into payer resources and tools; ensuring required resources are complete, compliant and available
  • Proactively identify and develop formulary related tools to assist representatives in securing access for all Lilly products
  • Develop information packages to support continued and expanded listing of current products
  • Assisting field-based personnel with analysis of customer needs and suggesting tailored negotiation strategies
  • Developing the most effective contracting options / economic solutions from among those solutions currently approved, in order to establish clinical value and remove
  • access/reimbursement barriers with a specific payer while optimizing economic value of the product for Lilly

Integration of Health Outcomes

  • Be responsible for planning, initiating, contracting consultants, analysis and reporting of Health Economics / Outcomes studies to support the reimbursement of Lilly’s products

Key Relationships

Internal

  • KAM
  • Real World Evidence (RWE) /Health Outcome teams (local/Regional and Global)
  • Regional/Global Pricing and PRA teams
  • Cross-Functional teams for New Product Planning/launches (Medical, Marketing, Corporate Affairs, KAM

External

  • Payers (public/private)
  • Insurance companies
  • Hospitals (public/private)
48423BR

Educational Qualifications

Minimum/Essential

  • Bachelor’s degree

Desirable

  • Medical related /pharmacist qualification at Degree or Masters level

Knowledge and Experience

Minimum/Essential

  • Min 1-2 years’ PRA experience in pharma industry
  • Proven experience and market knowledge of public and/or private payer customer segments
  • Knowledge and understanding of the payer market
  • Knowledge of business acumen within PRA field

Desirable

Health Economics/Outcomes work experience

Skills

  • Ability to analyze and interpret clinical and health outcome data
  • Ability to systematically review and comprehend clinical/scientific literature
  • High learning agility to comprehend complex scientific data
  • Strong analytical & Problem solving skills
  • High level of motivation, commitment and a strong desire to find creative solutions to challenging situations
  • Demonstrated ability to effectively influence individuals at all levels and with various roles/responsibilities and build relationships
  • High emotional intelligence
  • Strong presentation skills
  • Excellent command of English and Arabic language
  • Strong communication & interpersonal skills to relate complex medical and scientific data in a clear and concise manner
  • Strong planning, organization and prioritization skills
  • Attention to details
  • Strong team working skills (cross-functionally
  • Ability to use Microsoft Office

Other role requirements

  • Ability to travel 15-20% of the time
  • May require both domestic and international travel
  • May require evening/weekend work
  • Must be eligible to work/obtain work visa approval for specific country