Private Payers (PHI/Employers) Manager - CMH, Gulf
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Key skills for this role
About the Role
Eli Lilly is seeking a Private Payers Manager to lead private reimbursement ecosystems across PHI and employer segments in the Gulf. The role involves shaping reimbursement frameworks, financial modeling, and engaging insurers and employers.
Key Skills for This Role
Responsibilities
- Lead the design, execution, and scaling of private reimbursement ecosystems across PHI and employer segments in the Gulf
- Own the full private payer and employer access agenda for CMH and Obesity therapies
- Shape reimbursement frameworks influencing insurer and employer behavior
- Lead financial modeling and value proposition development
- Engage insurers, TPAs, brokers, and large employers at senior level
- Drive employer ecosystem programs and scale across markets
- Lead end to end program execution from design to scale
- Ensure governance, tracking and strong follow through
- Lead cross functional alignment without authority
- Build and manage ecosystem partnerships
Requirements
- Bachelor's degree required
- MBA or Master's in Health Economics / Pharmacoeconomics preferred
- 8–12+ years experience in payer strategy, market access or healthcare ecosystem roles
- Proven track record in leading complex strategic initiatives
Full Job Posting
Position Summary
- Leads the design, execution, and scaling of private reimbursement ecosystems across Private Health Insurance (PHI) and employer segments in the Gulf.
- Owns the full private payer and employer access agenda for CMH and Obesity therapies.
- Operates with senior level ownership, transforming strategy into scalable, high impact market solutions.
Key Responsibilities
- Own and lead private payer and employer reimbursement strategy across Gulf markets
- Shape reimbursement frameworks influencing insurer and employer behavior
- Lead financial modeling and value proposition development
- Engage insurers, TPAs, brokers, and large employers at senior level
- Drive employer ecosystem programs and scale across markets
- Lead end to end program execution from design to scale
- Ensure governance, tracking and strong follow through
- Lead cross functional alignment without authority
- Build and manage ecosystem partnerships
Key Stakeholders
- Internal: PRA, Market Access, Medical, Marketing, Legal & Compliance, Finance, Supply Chain, Commercial Excellence
- External: Private insurers, TPAs, brokers, healthcare providers, employers, strategic partners
- Responsible for influencing senior decision makers across stakeholders
Market Insights & Strategy
- Lead PHI and employer market assessments
- Generate insights and stakeholder intelligence
- Translate insights into execution strategies
Qualifications & Experience
- Bachelor’s degree required
- MBA preferred
- Master’s in Health Economics / Pharmacoeconomics preferred
- 8–12+ years experience in payer strategy, market access or healthcare ecosystem roles
- Proven track record in leading complex strategic initiatives
Core Competencies
- Strategic thinking and analytical capability
- Financial modeling and business case ownership
- Strong project and program management
- Leadership, ownership and accountability
- Execution excellence and follow through
- Transformative mindset
- Cross functional leadership without authority
- Stakeholder influencing and negotiation
Role Impact
- Expands reimbursement access across PHI and employer segments
- Builds scalable employer led healthcare models
- Drives transformation of the private healthcare ecosystem in the Gulf
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