National Private Payer Manager

Eli Lilly and Company; Ontario; On-site; CAD 90,000 - 120,000; Full time

Job summary

A leading healthcare company is seeking a National Private Payer Manager to develop relationships with private payers in Canada. This role involves strategic collaboration with various teams to ensure optimal access and reimbursement for Lilly products. Candidates should have a science background, strong negotiation skills, and experience in the private drug insurance industry. Fluency in both French and English is required for effective communication in this role.

Qualifications

• 5-10 years of experience in Canada’s private drug insurance industry preferred.
• Fluency in French and English is required for at least one NPPM role.

Responsibilities

• Develop and maintain relationships with private drug insurance carriers.
• Collaborate with cross-functional teams to develop access strategies.
• Negotiate with private payers in partnership with the PRA Head Office team.

Skills

Negotiation

Interpersonal Skills

Strategic Thinking

Analytical Skills

Problem-Solving

Education

Bachelor’s degree or higher

Job description

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Talent Acquisition Advisor at Eli Lilly Canada

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 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.

At Lilly Canada, our Pricing and Market Access teams of passionate, top-tier professionals are dedicated to making life better for all Canadians by ensuring access without barriers, to our Lilly medicines.

The pharmaceutical industry is a complex, rapidly changing environment and we are looking for highly capable people to help us accomplish our mission!

Responsibilities

The National Private Payer Manager (NPPM) is one of 2 NPPMs at Lilly Canada responsible for developing and maintaining relationships with priority private payers across Canada and delivering optimal access and reimbursement for Lilly brands in a timely manner.

The NPPM has three primary responsibilities :

• Develop and maintain collaborative relationships with Canada’s private drug insurance carriers, national pharmacy benefit managers and key employers in Canada to achieve optimal reimbursement for Lilly products.
• In collaboration with cross-functional teams (Corporate Affairs, Medical, Pricing Reimbursement, Market Access (PRA), and Patient Support), develop access strategies and plans to ensure a receptive private payer environment for Lilly products, facilitating optimal and timely market access.
• Collaborate closely with the PRA Head Office team and support the Sales / Marketing teams to exceed annual brand access objectives.

Private Payer Reimbursement

• Work in close partnership with the PRA Head Office team to develop and implement private payer access strategies for all Lilly brands.
• Guide the PRA Head Office team on private payer submissions to ensure they are timely and meet decision-makers / formulary committee requirements.
• Align with colleagues responsible for private payers on mutual brand access strategies and payer tactics.
• Assess and improve private payer account business processes and capabilities, sharing insights internally.
• Establish and maintain relationships with decision-makers and stakeholders at private insurers and PBMs, maintaining a deep understanding of reimbursement trends and drug plan designs.
• Develop and implement private payer programs, such as partnerships on patient compliance and disease awareness, to support reimbursement coverage.
• Negotiate with private payers in partnership with the PRA Head Office team.
• Support Lilly’s cross-functional teams by providing market insights on private payer trends and policy directions, participating in joint customer meetings when appropriate.
• Monitor and advise on private payer environment trends, sharing insights with PRA colleagues and leadership.

This role reports to the Associate Director, Market Access, and is field-based, preferably in Ontario, with occasional travel across Canada.

Skills and Qualifications

• Science background; Bachelor’s degree or higher required.
• 5-10 years of experience in Canada’s private drug insurance industry preferred.
• Experience in pharmaceutical market access, sales, marketing, or policy is an asset.
• Familiarity with Lilly’s therapeutic areas and brands is an asset.
• Deep knowledge of Canadian private drug insurance and pharmaceutical industries, including key stakeholders.
• Fluency in French and English is required for at least one NPPM role.
• Strong interpersonal and influencing skills, with the ability to professionally represent Lilly Canada.
• Negotiation experience is preferred.
• Self-directed, proactive, with excellent communication, strategic thinking, analytical, problem-solving, and organizational skills.

Lilly is committed to diversity and inclusion, providing accommodations for applicants with disabilities during the recruitment process. For assistance, complete the workplace accommodation form .

Lilly does not discriminate based on age, race, religion, gender, sexual orientation, gender identity or expression, national origin, veteran status, disability, or any other protected status.