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

Role Summary

Associate Vice President, Assistant General Counsel for Lilly Value & Access (LVA) will join the team of attorneys advising 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.

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.

Qualifications

• Required: JD degree and currently admitted to the bar in at least one U.S. jurisdiction
• Required: Must be eligible to be admitted to the bar in Indiana under Indiana Admissions Rules
• Required: Minimum of 10 years as an attorney practicing health care or pharmaceutical contracting, fraud and abuse counseling, pharmaceutical pricing or related area.
• Preferred: 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.
• Preferred: Deep knowledge of and experience with fraud and abuse laws, particularly in the context of payer and PBM agreements.
• Preferred: Experience with competition, pricing, reimbursement, and access issues as they pertain to the pharmaceutical industry.
• Preferred: Knowledge and understanding of government pricing programs, including the Medicaid Drug Rebate Program, 340B, the Federal Supply Schedule, etc.
• Preferred: Excellent oral and written communication skills with a demonstrated ability to present complex information accurately and concisely.
• Preferred: Strong collaborator with ability to work effectively cross-functionally
• Preferred: Strong background demonstrating ability to influence people and outcomes.
• Preferred: Demonstrated leadership and effectiveness in working with senior leadership.
• Preferred: Good judgment and a meticulous level of attention to detail.
• Preferred: Strong analytical skills.
• Preferred: Proven learning agility.
• Preferred: Ability to balance multiple priorities in a dynamic and evolving environment.
• Preferred: Demonstrated dedication and ability to expand knowledge and adapt to be able to provide strategic legal advice to a fast-paced and evolving industry.

Skills

• In-house or external advisory experience in pharmaceutical/biotech contexts.
• Deep knowledge of fraud and abuse laws for payer and PBM agreements.
• Experience with competition, pricing, reimbursement, and access issues in the pharmaceutical industry.
• Knowledge of government pricing programs, including Medicaid Drug Rebate Program, 340B, and the Federal Supply Schedule.
• Excellent oral and written communication; ability to present complex information clearly.
• Strong cross-functional collaboration.
• Influencing and stakeholder management.
• Leadership and ability to work with senior leadership.
• Sound judgment and meticulous attention to detail.
• Strong analytical skills.
• Learning agility and ability to adapt to a fast-paced environment.
• Ability to balance multiple priorities.

Additional Requirements

• Role can be located in Indianapolis or Remote for right candidate