Product Manager – Reimbursement

Eli Lilly and Company • Us, IN

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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. Organization Overview: At Lilly, we serve an extraordinary purpose. We make a difference for people around the globe by discovering, developing and delivering medicines that help them live longer, healthier, more active lives. Not only do we deliver breakthrough medications, but you also can count on us to develop creative solutions to support communities through philanthropy and volunteerism. Consumer Services Tech@Lilly designs and delivers modern digital experiences that make it easier for consumers to enroll, engage, and receive support throughout their treatment journey. The team develops and manages consumer‑facing platforms, data products, and CRM-integrated capabilities that power seamless onboarding, intuitive self‑service, and reliable engagement across channels. Reimbursement Services help patients and healthcare professionals navigate access and affordability with speed and clarity. The team develops and manages CRM‑based case management tools, digital verification capabilities, and connected service experiences that simplify reimbursement processes and reduce barriers to treatment. As Product Manager – Reimbursement Services , you will lead key initiatives that modernize Lilly’s reimbursement ecosystem - advancing capabilities across CRM workflow automation, virtual assistance, agentic case processing, and benefits verification. You will apply relevant artificial intelligence approaches such as intelligent automation , machine-supported decisioning , and virtual assistance tools to streamline case handling, reduce manual effort, and improve accuracy across reimbursement activities. Your work will also accelerate the rollout of the Regional Reimbursement Specialist (RSS) capability and integrate eBV/ePA capabilities across Consumer Services platforms. This role is ideal for a mission-driven, collaborative product leader who is passionate about using technology to improve access, enhance service quality, and bring clarity to patients and HCPs navigating complex insurance and reimbursement pathways.

Requirements

• 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.

Nice To Haves

• Experience with HCP, Payer, and Consumer portfolios.
• 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.

Responsibilities

• Scaling HCP Portal – Lilly USA Gold Standard Engagement Portal 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.
• Field Reimbursement Management Transformation 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.
• eBV & ePA Strategy Integration 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.

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: Manager
• Number of Employees: 5,001-10,000 employees