Eli Lilly and Company · 12 hours ago
Product Manager – Reimbursement
Eli Lilly and Company is a global healthcare leader dedicated to improving lives through innovative medicines. As a Product Manager for Reimbursement Services, you will lead initiatives to modernize the reimbursement ecosystem, leveraging AI and digital solutions to enhance patient access and streamline processes.
BiotechnologyHealth CareMedicalPharmaceutical
Responsibilities
Lead the expansion of the HCP Portal, integrating AI-driven analytics to enhance user experience and adoption across new Immunology brands
Partner with Software Product Engineering (SPE) to insource the Development and operations of this platform
Collaborate with cross-functional teams to define requirements, prioritize features, and deliver scalable, data-informed solutions
Utilize digital metrics and AI insights to track portal impact on patient access and field efficiency
Rapidly build and launch a new Regional Reimbursement Specialist capability, leveraging the LifeScience Cloud CRM platform and AI-powered case management tools
Design and implement virtual, patient-specific case management processes that use automation and machine learning to address complex access challenges (e.g., missing information, denials, appeals, payer-specific issues)
Partner with Field Reimbursement Managers (FRMs) to optimize responsibilities, enabling FRMs to focus on proactive education and stakeholder relationship-building
Pilot and evaluate the new FRM+RRS+HUB model using an A/B framework, applying AI to analyze outcomes and inform broader deployment decisions
Drive the integration of Electronic Benefits Verification (eBV) and Electronic Prior Auth (ePA) capabilities with Consumer CRMs and reimbursement services, enhancing digital case management and patient support through AI-enabled solutions
Collaborate with Consumer Marketing, IT, and external partners to ensure alignment with business objectives and regulatory requirements
Identify opportunities to leverage automation and AI to streamline processes, improve time to first fill, and increase fill rates
Qualification
Required
Bachelor's degree in Business, Information Technology, Life Sciences, or a related field; MBA or advanced degree preferred
7+ years of progressive experience in product management, contact centers, reimbursement, or related roles within the pharmaceutical or healthcare industry
Proven track record of leading diverse, cross-functional teams and delivering complex projects in a regulated environment
Deep understanding of reimbursement processes, patient access challenges, CRM platforms, and AI-driven digital solutions
Strong analytical and problem-solving skills; able to anticipate and resolve complex operational and business problems using data and technology
Excellent communication and collaboration skills, with the ability to influence stakeholders at multiple levels and foster an inclusive team culture
Experience in managing budgets, vendor relationships, and project timelines
Demonstrated ability to set strategic roadmaps and deploy transformation initiatives
Experience with HCP, Payer, and Consumer portfolios
Preferred
Familiarity with virtual case management, digital health solutions, and AI-driven process optimization
Ability to drive innovative change and align teams to common business processes
Strong interpersonal skills and a sense of urgency in execution
Benefits
Company bonus
401(k)
Pension
Vacation benefits
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
Well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities)
Company
Eli Lilly and Company
We're a medicine company turning science into healing to make life better for people around the world.
H1B Sponsorship
Eli Lilly and Company has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (514)
2024 (236)
2023 (167)
2022 (133)
2021 (57)
2020 (52)
Funding
Current Stage
Public CompanyTotal Funding
$6.5M2024-02-12Post Ipo Debt· $6.5M
1978-01-13IPO
Leadership Team
Recent News
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