Manager – Value and Access

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.

POSITION PURPOSE

To develop, drive and deliver reimbursement strategies and solutions for pipeline and existing products within the cardiometabolic health business unit. To develop national reimbursement dossiers (PBAC/MSAC and PTAC), and to manage the pricing submissions following PBAC/PTAC recommendations. To provide health economics expertise on expanded access solutions. To engage with key internal and external stakeholders, and to lead cross-functional teams in the development and submission of reimbursement dossiers.

RESPONSIBILITIES

• Develop PRA strategies and plans for pipeline and existing products within a business unit portfolio, with the goal of broad and diverse market access
• Develop innovative access solutions, and make recommendations to local, regional and global lead teams on the optimal PRA strategy for the portfolio
• Identify any gaps, risks and possible solutions for the execution of the proposed PRA strategies
• Lead cross-functional teams in the development and delivery of the various access solutions
• Identify access environment shaping needs, and work with the public affairs team on the joint delivery of the environment shaping activities
• Lead cross functional teams in the development and submission of reimbursement dossiers to PBAC/MSAC and PTAC, and in the consultation and post-decision phases of the reimbursement process
• Act as a project manager for sourcing clinical and economic inputs required for submission dossiers
• Develop cost-minimisation models and analyse cost-utility models
• Write some or all sections of HTA submissions
• In conjunction with the pricing and analytics lead, develop business cases for internal pricing approvals
• Act as a PRA therapeutic area lead and manage the affiliate relationship with regional and global PRA/Health Economics Outcomes Research (HEOR) colleagues
• Work with Key Account Managers to develop regional and local level market access materials
• Maintain up to date knowledge of HTA processes and criteria, and the broader access environment
• Contribute as a constructive member of Brand, Value Access and Public Affairs (VAPA) and Value and Access Teams

It is expected that the successful candidate will lead cross-functional working groups when developing and executing PRA strategies for new products and indications.

The role may also include coaching/mentoring of Value and Access team members.

ENVIRONMENT & POSITION CHALLENGES

Gaining PBS listing to new medicines and new indications continues to evolve and increase in complexity. Timely access hinges on the ability to identify and execute novel and innovative reimbursement and broader access strategies.

Success in this role requires innovative thinking and creative ideas, and a willingness to push boundaries. It requires the ability to analyse and interpret clinical and economic data and link payer insights to reimbursement and access opportunities. It also requires the ability to develop strong relationships with local, global and regional colleagues and external stakeholders.

• A tertiary qualification in a suitable science or health care related discipline or statistics
• Post-graduate qualifications in HTA, health economics, public policy, or economics will be highly regarded

• Previous experience in managing reimbursement submissions within Australia/New Zealand (or similar) health care system and/or pharmaceutical industry (5 or more years)
• A strong understanding of the reimbursement processes and the ability to demonstrate relevant practical experience relating to reimbursement of pharmaceutical products
• Experience working with and/or established relationships with Department of Health and Aging or industry groups is desirable
• Experience working with funding bodies other than the national payer, and/or experience working on alternative access solutions will be highly regarded
• Demonstrated project management experience to manage complex projects

• Develop reimbursement strategies and plans for pipeline and existing products, with the goal of national access
• Make recommendations to local, regional and global lead teams on the optimal strategies
• Identify any gaps, risks and possible solutions for the execution of the proposed strategies
• Lead cross-functional teams in the development and submission of reimbursement dossiers to PBAC/MSAC and PTAC, and in the consultation and post-decision phases of the reimbursement process
• Act as a project manager for sourcing clinical and economic inputs required for submission dossiers
• Develop cost-minimisation models and analyse cost-utility models
• Write some or all sections of HTA submissions
• In conjunction with the pricing and analytics lead, develop business cases for internal pricing approvals
• Manage the affiliate relationship with regional and global PRA/Health Economics Outcomes Research (HEOR) colleagues
• Contribute to, or in some cases own the development of alternative access solutions, providing health economics expertise
• Identify access environment shaping needs, and work with the public affairs team and other Value and Access team members on the joint delivery of the environment shaping activities
• Maintain up to date knowledge of HTA processes and criteria, and the broader access environment
• Contribute as a constructive member of Brand, Value Access and Public Affairs (VAPA) and Value and Access Teams

REPORTING RELATIONSHIP

This role reports to the Director, Value and Access

It is expected that the successful candidate will lead cross-functional working groups when developing and executing reimbursement strategies for new products and indications. The role may also include coaching/mentoring of Value and Access team members.

ENVIRONMENT & POSITION CHALLENGES

Gaining PBS listing to new medicines and new indications continues to evolve and increase in complexity. Timely access hinges on the ability to identify and execute novel and innovative reimbursement and broader access strategies.

Success in this role requires innovative thinking and creative ideas, and a willingness to push boundaries. It requires the ability to analyse and interpret clinical and economic data and link payer insights to reimbursement and access opportunities. It also requires the ability to develop strong relationships with local, global and regional colleagues and external stakeholders.

KEY COMPETENCIES & SELECTION CRITERIA

• A tertiary qualification in a suitable science or health care related discipline or statistics
• Post-graduate qualifications in HTA, health economics, public policy, or economics will be highly regarded

Prior Knowledge or Experience:

• Previous experience in managing reimbursement submissions within Australia/New Zealand (or similar) health care system and/or pharmaceutical industry (5 or more years)
• A strong understanding of the reimbursement processes and the ability to demonstrate relevant practical experience relating to reimbursement of pharmaceutical products
• Experience working with and/or established relationships with Department of Health and Aging or industry groups is desirable
• Experience working with funding bodies other than the national payer, and/or experience working on alternative access solutions will be highly regarded
• Demonstrated project management experience to manage complex projects

Skills & Attributes:

• Stakeholder Management and Collaboration: strong collaboration and communication skills; ability to partner cross functionally internally (including Directors, Departmental Managers and Regional Leaders) and with external partners
• Leadership skills: Lead cross-functional teams
• Innovative thinking: Ability to think creatively for access solutions, and be confident to present those ideas
• Critical thinking: Excellent problem solving skills; ability to manage ambiguity and develop effective risk management plans
• Analytical skills: ability to interpret clinical/scientific literature and health outcomes/economic data and models
• Influence and Negotiation skills; ability to build strong credibility with internal and external stakeholders; skills enabling internal and external influence; strong interpersonal and communication skills (both verbal and written)
• Project Management; ability to manage complex projects from project initiation to implementation with success, managing both high level and detail

Skills/Attributes which would make the successful candidate more effective:

• Self-motivated with the ability to work under pressure to meet demanding deadlines
• Work style: Professional, methodical approach

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