Associate Vice President - Assistant General Counsel - Lilly Value and Access

Eli Lilly and Company • Indianapolis, IN

19d • Remote

About The Position

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. Responsibilities As AVP, Assistant General Counsel for Lilly Value & Access (LVA), you will join the team of attorneys that advises the Company on the pricing, reimbursement, access, and distribution of Lilly’s products in the U.S. You will work closely with colleagues on the LVA legal team and across brand, medical, and other legal specialties to lead legal strategies and support various aspects of the development and commercialization of Lilly’s products. This role will be primarily responsible for:
Providing strategic counsel on the Company’s arrangements and interactions with pharmacy benefit managers, health plans, employers, and other payers. Negotiating, drafting, and/or reviewing agreements with these entities, including market access agreements, value-based agreements, etc. Leading development of innovative contracting constructs. Serving as an enterprise expert on federal and state pricing requirements; advising on the Company’s compliance with government price laws, including state drug price reporting requirements, the Medicaid Drug Rebate Program, FSS/VA, the 340B program, etc. Contributing as a key member in U.S. Affiliate governance meetings to provide legal advice to shape customer engagement and/or contracting strategies. Collaborating closely with Lilly’s Contract Management & Analytics (CMA) group and providing legal leadership and strategic direction on contract administration matters, including evaluating audit findings and managing dispute resolution and settlements. Other responsibilities may also include: Anticipating, leading, and collaborating cross-functionally with other attorneys to solve issues related to FDA promotional laws, the intersection between medical and marketing personnel, planning and use of real-world evidence/data, federal healthcare program compliance, or pricing, reimbursement, and access strategies related to new products. Negotiating, drafting, reviewing, and providing guidance on agreements with other customer segments, including group purchasing organizations, pharmacies, wholesalers, and/or patient affordability vendors. Advising Lilly colleagues, including senior leadership, on the design, implementation, and execution of patient support, affordability, and/or assistance programs. Collaborating with Government Affairs and Public Policy on issues impacting pricing, reimbursement, and access. Engaging, as needed, with government or regulatory agencies to educate on the implications of specific policies or laws, represent Lilly’s legal perspective, and/or influence industry-wide policies. Reviewing, editing and providing counsel on internal and external communications for compliance with relevant laws, rules, regulations, and internal company policies. Preparing and delivering practical and pragmatic training to the organization related to relevant legal topics, contracting and risk mitigation.

Requirements

• JD degree and currently admitted to the bar in at least one U.S. jurisdiction
• Must be eligible to be admitted to the bar in Indiana under Indiana Admissions Rules
• Minimum of 10 years as an attorney practicing health care or pharmaceutical contracting, fraud and abuse counseling, pharmaceutical pricing or related area.

Nice To Haves

• In-house legal experience, ideally with a global pharmaceutical or biotechnology company, or advising global corporation clients at a law firm, or some combination of the two.
• Deep knowledge of and experience with fraud and abuse laws, particularly in the context of payer and PBM agreements.
• Experience with competition, pricing, reimbursement, and access issues as they pertain to the pharmaceutical industry.
• Knowledge and understanding of government pricing programs, including the Medicaid Drug Rebate Program, 340B, the Federal Supply Schedule, etc.
• Excellent oral and written communication skills with a demonstrated ability to present complex information accurately and concisely.
• Strong collaborator with ability to work effectively cross-functionally
• Strong background demonstrating ability to influence people and outcomes.
• Demonstrated leadership and effectiveness in working with senior leadership.
• Good judgment and a meticulous level of attention to detail.
• Strong analytical skills.
• Proven learning agility.
• Ability to balance multiple priorities in a dynamic and evolving environment.
• Demonstrated dedication and ability to expand knowledge and adapt to be able to provide strategic legal advice to a fast-paced and evolving industry.

Responsibilities

• Providing strategic counsel on the Company’s arrangements and interactions with pharmacy benefit managers, health plans, employers, and other payers.
• Negotiating, drafting, and/or reviewing agreements with these entities, including market access agreements, value-based agreements, etc.
• Leading development of innovative contracting constructs.
• Serving as an enterprise expert on federal and state pricing requirements; advising on the Company’s compliance with government price laws, including state drug price reporting requirements, the Medicaid Drug Rebate Program, FSS/VA, the 340B program, etc.
• Contributing as a key member in U.S. Affiliate governance meetings to provide legal advice to shape customer engagement and/or contracting strategies.
• Collaborating closely with Lilly’s Contract Management & Analytics (CMA) group and providing legal leadership and strategic direction on contract administration matters, including evaluating audit findings and managing dispute resolution and settlements.
• Anticipating, leading, and collaborating cross-functionally with other attorneys to solve issues related to FDA promotional laws, the intersection between medical and marketing personnel, planning and use of real-world evidence/data, federal healthcare program compliance, or pricing, reimbursement, and access strategies related to new products.
• Negotiating, drafting, reviewing, and providing guidance on agreements with other customer segments, including group purchasing organizations, pharmacies, wholesalers, and/or patient affordability vendors.
• Advising Lilly colleagues, including senior leadership, on the design, implementation, and execution of patient support, affordability, and/or assistance programs.
• Collaborating with Government Affairs and Public Policy on issues impacting pricing, reimbursement, and access.
• Engaging, as needed, with government or regulatory agencies to educate on the implications of specific policies or laws, represent Lilly’s legal perspective, and/or influence industry-wide policies.
• Reviewing, editing and providing counsel on internal and external communications for compliance with relevant laws, rules, regulations, and internal company policies.
• Preparing and delivering practical and pragmatic training to the organization related to relevant legal topics, contracting and risk mitigation.

Benefits

• 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).

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: Ph.D. or professional degree