Pricing, Reimbursement
21 hours ago
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 35,000 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.
The primary purpose of this role is to open access by owning the value story of Lilly products throughout the reimbursement life cycle. The PRA Manager will identify with affiliate Corporate Affairs Directors and KAMs top risks and opportunities in the market, and will develop a mitigation plan and own its implementation. He/she will design and drive the implementation of 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 and drives forward the value proposition/Payer Value message of Lilly products to payers at all levels, throughout the product lifecycle. Finally, The PRA Manager is responsible and accountable for leading on the 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 design 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 to drive solutions and strategies;
- Ability to understand, and communicate internally, payer customer needs and insights for customers at national/regional/hospital level (voice of the customer) to drive solutions;
- 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
- Ability to anticipate and address local payer needs by drawing on / supporting the selection of the most appropriate tools and information from available Toolkits and sharing Best Practices for the Toolkit for the benefit of other affiliates
- Developing and leading the 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**
- Leading on 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
- Leading on partnering with cross functional teams (CFT) to carry out prelaunch activities, monitor the progress of submissions, anticipate any challenges and put in place mitigation plans and support the resubmission process
- Leading 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 Ac
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