Expert Specialist CMS HCP Contract to Pay

Posted 9 Days Ago
Be an Early Applicant
8 Locations
Senior level
Healthtech • Biotech • Pharmaceutical
The Role
The CMS Expert Specialist at Lilly provides expert contract and payment support to external healthcare professionals and internal partners. This role focuses on excellent customer experience, end-to-end coordination of the Contract to Pay process, and ensuring compliance with regulations and reporting requirements. The specialist also resolves issues effectively and ensures data management adheres to company standards.
Summary Generated by Built In

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, we make a difference for people in the world over by discovering, developing, and delivering medicines that help people live longer, healthier, and more active lives.  

One of Lilly´s most important corporate objectives are to improve patient outcomes. A key step in achieving this goal is to improve our relationship with external health care providers and health care organizations ensuring a positive experience across all touchpoints that include Thought leaders, consultants, speakers, external stakeholders, and employees, ensuring that this does not limit Lilly´s understanding of a disease, potential treatments and the patients, Health care provider´s and payer´s needs. Therefore, we must prioritize how we engage with health care providers through every touchpoint to ensure we are meeting the needs of the patients we serve. 

Global Business Solutions is a global partner that was born in finance and provides unique capabilities that enable Lilly to accelerate the value we bring to patients. It has evolved and expanded into diverse Business Service functions including CMS HCP Contract to Pay. 

The Customer Meeting Services HCP Contract to Pay (CMS) team supports Lilly Meeting Owners with meeting planning & oversight, HCPs Contracts and payments execution and the reporting of transfer of value (TOV) to enable compliance with the EFPIA Disclosure Code. The Lilly Meetings & Congresses teams provide support for Meetings Oversight, while the CMS teams located in the GBS complete Health Care Provider (HCP) contracting, payment, expense reimbursement and compliance support.  

The CMS Team works cross-functionally with regular interaction with key business partners within the GBS and Global and International Meetings & Congresses network, along with other key connected functions in Lilly, in particular Global Transparency, Global Customer Operations (GCO) and Ethics & Compliance. 

 

Responsibilities: 

The primary role of the CMS Expert Specialist is to provide excellent contracting and payment support to the external Healthcare Professional as well as the internal affiliate business partner. 

o Be seen as a “go-to” information resource for Contracting to Pay queries both from external HCPs and internal business partners 

o Provide excellent customer experience through the end to end coordination & execution of the Contract to Pay process in a compliant mannerThis includes the pre-contracting data management for the Healthcare Professional.  

o Ensure efficient and effective issue resolution across the Contract to Pay process including the pre-contract data management aspects.  

o Ensure adherence to Anti-Corruption requirements when interacting with and engaging HCPs 

o Ensure compliance with data capture requirements to support the Lilly’s TOV Disclosure requirements, which may include supporting data correction and reporting queries from Global Transparency team pre or post publication 

o Monitor daily operational dashboard to ensure compliance with pre-defined SLAs 

o Support global/regional CMS projects with focus on the Contract to Pay process & pre-contracting data management 

o Support the overall CMS team by demonstrating flexibility in providing cover for team members and training of new team members 

o You may be required to support other markets, language requirements permitting, as the need arises and as deemed appropriate by your line manager 

 

Basic Requirement: 

o 2-3 years’ customer facing experience with excellent communications & compliance skillsLegal/Contracting/Travel & Meetings support experience an advantage 

o Associates Degree (or equivalent work experience) 

o Fluency in English language essential. Additional Language an advantage 

o Experience in Sales Force, SAP P2P module, MS Office 

o Experience with Contracting systems an advantage 

 

Additional skills/Preferences: 

Requires business and/or technical knowledge developed through education or experience using discipline and understanding of key business drivers.  

 

Be able to create impact at immediate peers level 

May lead small projects with small risk. Effective and agile communications skills are needed. 

Requires analysis of possible solutions to solve and anticipate a range of day-to-day problems including standard and non-standard requests. Be able to provide support on solving issues, within a team or multiple teams over time. 

Ability to respond flexibly and empathetically to customer needs, managing their expectations effectively. 

Ability to work in local/regional/global team environment and communicate effectively with both internal business partners of all levels & disciplines as well as external Business Partners. 

 

The GBS focuses on the following foundational pillars across the full organization to ensure a solid and consistent approach to running our business.  

 

 

Compliance 

Demonstrate a strong compliance-oriented mindset & help to build a strong compliance culture. 

 

Familiarize with all applicable process documentation & training materials to ensure you operate in a fully compliant manner 

Ensure ownership for all applicable Operational controls for your area as well as the remediation for any deficiencies and the sharing of all learnings across the team.  

 

People 

Actively work with the core team members, internal business partners, external support agencies, and Healthcare Professionals to build effective working relationships 

Customer 

Demonstrate excellence in all interactions with our internal customers, business partners & external Healthcare Professionals 

Focus on measuring & improving our Healthcare Professional’s experience with the CMS process & teams 

 

Continuous Improvement 

Demonstrate a strong Continuous Improvement oriented approach & help to build a strong Continuous Improvement culture 

Actively work with the core team members & Global and International teams to drive improvements for processes 

 

Additional Information  

 

*Travel Percentage – Up to 10% international travel may be required 

 

Note: When applying internally for a position your current supervisor receives notification that you have applied to the position. We encourage employees to discuss the opportunity with their supervisor prior to applying. 

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

#WeAreLilly 

Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form (https://careers.lilly.com/us/en/workplace-accommodation) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and any other correspondence will not receive a response.

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

#WeAreLilly

The Company
HQ: Indianapolis, IN
39,451 Employees
On-site Workplace
Year Founded: 1876

What We Do

Eli Lilly and Company engages in the discovery, development, manufacture, and sale of products in pharmaceutical products business segment.

For more than a century, we have stayed true to a core set of values – excellence, integrity, and respect for people – that guide us in all we do: discovering medicines that meet real needs, improving the understanding and management of disease, and giving back to communities through philanthropy and volunteerism.

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