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Lilly Field Reimbursement Specialist - Northern NJ in Indianapolis, Indiana

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.

Job Responsibilities

As part of the Managed Healthcare Services at Lilly USA, LLC, the Field Reimbursement Specialist (FRS) is a field-based non-promotional role within Lilly Patient Services reporting directly to a US Regional Field Director. Field Reimbursement Specialists are seen as elite members of the field FRS team based on their leadership skills and business impact with peers and customers. FRS’s are subject matter experts in educating and problem solving patient access issues who educate Healthcare Providers offices on understanding Lilly Customer Support Programs (CSP) available for patients. The FRS will work in assigned HCP offices and integrated delivery networks to build and maintain relationships with office support staff. FRS must work seamlessly and in coordination with all Lilly customer support services, specialty pharmacies, and other field teams while supporting patient access. FRS

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.

  • Compliant communication with sales representatives, the specialty pharmacy (SP) advisory team, customer support program personnel, and national/regional account managers to escalate and resolve local payer issues

  • Demonstrates strong problem solving skilled related to complex patient access challenges across payers and specialty pharmacies

  • Peer leadership and mentoring roles

  • Able to condense complex issues into simple solutions by working with peers and internal stakeholders to improve the customer experience

  • Educate office staff about financial assistance, alternative funding options for the uninsured and underinsured

  • Educate providers on prior authorization 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

  • 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

  • Lead live training on customer support programs to providers for the Lilly Bio-Medicines portfolio

  • Knowledge of healthcare structures, payment systems, and reimbursement methodology

Basic Qualifications

  • Bachelor’s Degree

  • Minimum three years of work experience in the following areas:

  • Patient Navigation

  • Payer

  • Reimbursement

  • Medical billing and coding

  • Specialty Pharmacy

  • Pharmaceutical Sales

  • Valid driver’s license and acceptable driving record

  • 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 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

  • Strong written and verbal communications as well as presentation skills

  • Ability to manage expenses within allocated budgets

  • Live within or 50 miles from assigned geography

Additional Information

  • Overnight Travel Percentage - 10-25%

  • 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 ( LillyRecruitingCompliance@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.

At Lilly we strive to ensure our employees are part of a team that cares about them and our shared purpose of making life better for those around the world. How do we do this? We continue to look for ways to include, innovate, accelerate and deliver while maintaining integrity, excellence and respect for people.​ We hope that you seek to join us on our journey as we create medicine and deliver improved outcomes for patients across the globe!

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