Associate Director - Market Access - Payment Operations Manager

At Lilly, the work is demanding because patients are waiting. We unite caring with discovery to help make life better for people around the world, knowing that every decision, every detail, and every day matters. Headquartered in Indianapolis, Indiana, our over 50,000 employees around the globe take on complex challenges to discover and deliver life-changing medicines, strengthen how health is understood and managed, and support the communities we serve. This is hard, urgent, selfless work—but it’s work worth doing. If you’re driven by purpose and ready to bring your best to work that truly matters for patients, we invite you to join us. 

Overview

The goal of this position is to ensure quality, speed, and consistency in the delivery and execution of Lilly USA’s contractual obligations for state fee-for-service Medicaid Drug Rebate Program (MDRP) and US patient affordability copay programs. 

The Contract Administration (CA) Associate Director role leads of team of contract payment analysts to administer our contracted payment obligations, ensuring all payments are appropriately administered, analyzed, documented, controlled, and reported on a consistent and timely basis. Responsibilities include, but are not limited to, oversight of day-to-day payment operations, supervision of area teams and prioritization of their activities, implementation of performance management, and coordination of Lilly Value and Access systems priorities/issues. This position serves on the staff of the CMA (Contract Management and Analytics) Vice President. This position contributes to minimizing the financial and legal risks associated with US sales reductions and will also be involved in internal and external audits aimed at ensuring the operation is run with quality and control.

Primary Responsibilities

The Contract Administration (CA) Associate Director acts as the controller for Lilly Value and Access contract administration activities, balancing valid customer needs and obligations with appropriate financial controls with the Medicaid and Co-Pay segments. The CA Associate Director is responsible for ensuring operational efficiencies and consistency across customer segments, as well as payment system ownership. The CA Associate Director will clearly define expectations and instill a sense of ownership, responsibility, and accountability within the team. The Associate Director will drive special projects to conclusion utilizing SME’s across CA, Tech@Lilly, Legal, Finance, and other Lilly business partners.

Key Objectives

• Staff Development/Supervision – Lead, coach, and develop a team of direct reports. Responsibilities include a) developing a high performing team that effectively responds to an evolving business environment and exceeds business needs; b) driving industry leading service and operations through exceptional leadership; c) fostering an inclusive environment which builds trust, coaches, develops, and empowers team members; d) ensuring all training is complete; e) executing Performance Management, coaching, and developing team members.
• Implementation of CMA Leadership Initiatives – as a member of the CMA Leadership Team, has shared responsibility for attaining alignment across functional boundaries and achieving CMA business goals and strategic objectives.
• Contract Administration Operations – responsible for establishing processes to validate both contract proposals and payments, ensuring that Lilly is not exposed to unnecessary risk. As necessary, provide input on new contracting possibilities, patient affordability programs, and help resolve escalated payment disputes.
• Authorization of Customer Payments/Contractual Commitments – responsible for accurate, timely, and compliant rebate payments across Medicaid and CoPay segments. Optimize payment and administration business practices as well as monitor compliance with established metrics. Managing disputed payments with the contracted party.  Evaluate and address potential impact to internal operations resulting from updates to the Medicaid Drug Rebate Program (MDRP) and Lilly’s patient affordability programs.
• Lead Special Projects – Facilitate the analysis and implementation of various special projects including project management for CA’s revenue management system. Lead project in partnership with Legal to defend the Medicaid dispute balance.  Establish processes for prioritization, communication, and escalation between CA and other Lilly business partners in Legal, Finance, Tech@Lilly, and others. Other potential projects may include resolving disputes with state Medicaid agencies, revenue leakage activities using AI and anomaly-detection techniques, participation in industry trade group initiatives, implementation of governmental regulations, organizational efficiency improvements, etc.

Basic Qualifications

• Bachelor's Degree with a concentration in Accounting, Finance, Economics, Information Technology, or relevant field of study

• Qualified applicants must be authorized to work in the United States on a full-time basis. Lilly will not provide support for or sponsor work authorization or visas for this role, including but not limited to F-1 CPT, F-1 OPT, F-1 STEM OPT, J-1, H-1B, TN, O-1, E-3, H-1B1, or L-1

Additional Skills/Preferences

• High learning agility
• Demonstrated business acumen and analytical skills
• Strong communication, interpersonal, and leadership skills
• Ability to engage and motivate team members with a focus on inclusion
• Demonstrated ability to translate organizational goals into specific actions
• Demonstrated ability to deliver projects/tasks on-time and within budget
• Controllership experience
• Negotiation/Conflict resolution
• Previous direct and/or indirect supervisory experience
• Knowledge of Icyte Medicaid revenue system (or other comparable system)
• Experience leveraging technology in business operations
• Internal or external audit experience
• Financial and/or IT Certification (e.g., CPA, CMA, CIA, CISA)
• Previous experience with Medicaid Drug Rebate Program (MDRP)
• Previous experience with customers in pharmacy distribution channel or payer environment (Wholesalers, PBMs, Payer Customers, Pharmacies, CoPay Vendors)
• Experience with and understanding of Sarbanes-Oxley requirements

Location:  Lilly USA, Lilly Tech Center-South

Travel Percentage: 0-10%

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.

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.

Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form (https://careers.lilly.com/us/en/workplace-accommodation) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and any other correspondence will not receive a response.

Lilly is proud to be an EEO Employer and does not discriminate on the basis of age, race, color, religion, gender identity, sex, gender expression, sexual orientation, genetic information, ancestry, national origin, protected veteran status, disability, or any other legally protected status.

Our employee resource groups (ERGs) offer strong support networks for their members and are open to all employees. Our current groups include: Africa, Middle East, Central Asia (AMECA), Black Employees at Lilly (BE@Lilly), Chinese Culture Network (CCN), EnAble, Evolve, Lilly Indian Network (LIN), Organization of Latinx at Lilly (OLA), Pride (LGBTQ+ Allies), Veterans Leadership Network (VLN) and Women’s Initiative for Leading at Lilly (WILL).

Actual compensation will depend on a candidate’s education, experience, skills, and geographic location.  The anticipated wage for this position is

Full-time equivalent employees also will be eligible for a company bonus (depending, in part, on company and individual performance). In addition, Lilly offers a comprehensive benefit program to eligible employees, including eligibility to participate in a company-sponsored 401(k); pension; vacation benefits; eligibility for 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; and well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities).Lilly reserves the right to amend, modify, or terminate its compensation and benefit programs in its sole discretion and Lilly’s compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees.

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