Associate/manager - Insurance, Gulf

1 month ago


Dubai, United Arab Emirates Lilly Full time

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.

**Purpose**:
The Insurance Assoc/Manager is a Business to Payer (B2P) position charged with gaining and maintaining Reimbursement for the Lilly product portfolio within private sector in Gulf countries. The Insurance manager will be responsible for:

- Following up on the reimbursement process with private payer with special focus on Insurance companies & across Gulf countries.
- Building business relationship with private payer customers (insurance managers, RCM’s managers, and preauthorization Managers) to understand and address issues that impact private access to Lilly products throughout the product lifecycle and in a long-term customer horizon (3-5 years).
- Working with internal Teams, Government Affairs, and field Sales teams to ensure awareness of access Dynamics in the market, identify and coordinate to solve issues impacting the proper utilization of Lilly products.
- Proactively leading the ongoing dialogue with local healthcare authorities, executing on strategic partnerships with Insurance companies, and/or healthcare providers
- To execute market access strategies with Insurance companies and execute the defined activities supporting strategic projects/products throughout their life cycle.

**Qualification & Experience**:

- Previous experience in Insurance companies/ market access position in pharmaceutical companies is a must.
- UAE experience is a must, upper gulf experience is a plus
- Excellent implementation skills
- Strong communication skills (written and oral in local language and in English)
- Strong analytical, planning and organizational skills
- Proven ability to thrive in complex selling situations.
- Solid understanding of the Gulf reimbursement model
- Understanding of principles in health economics
- Deep knowledge of local political dynamics, and deep knowledge of payer marketplace

**Key Responsibilities**:
**Prioritized Account Access**
- Responsible for gaining and maintaining formulary access and reimbursement for Lilly products in top 10 private accounts, including:

- Establish Account Plans, accounts Archetypes including SWOT and opportunity plan, for each prioritized account.
- Define and implement a quarterly access plan in accordance with affiliate priorities & business goals.
- Establish key relationships within targeted accounts in order to identify and address customer explicit needs and to minimize unjustified rejection rates for Lilly products.
- Equipping insurance managers in top 10 retail accounts in each country with the needed product medical data to support HCP’s/providers in their claims to insurance companies.
- Develop and maintain robust understanding on the gulf reimbursement ecosystem and assure all cross functional teams are fully aware and updated.

**Insurance Companies**
- Build strong partnerships with insurance companies in order to identify and address customer explicit needs and to minimize unjustified rejection rates for reimbursement of Lilly products.
- Advocate access to Lilly products with insurance companies by equipping them with the core value messages for Lilly products and leveraging on the health economic tools which will help them to understand the value on Lilly products and the impact on their budget.
- Partnering with Regulators and Authorities in raising the awareness of certain therapy areas where Lilly can add value. execute educational meetings/ touch points with preauthorization personnel in insurance companies to highlight the unmet need in the concerned therapy areas.
- Create awareness within Insurance companies in order to gain/maintain formulary access and reimbursement for Lilly products in gulf retail accounts.
- Implement and deliver Payer Value Messages for Lilly products for insurance managers across gulf retail accounts.

**Cross-functional Integration**
- Coordinate and communicate account strategies and tactics with cross-functional Payer teams.
- Drive Lilly brand sales growth and appropriate utilization in validated accounts in conjunction with local sales teams.
- Address local market dynamics and trends in conjunction with appropriate Lilly colleagues.
- Act as the internal expert on local private Health Care Systems and their evolutions.
- Act as the channel of the voice of the private payer: ensure payer customer insights are well communicated internally.

Lilly does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, g



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