Senior Principal- AI / ML Engineer, Market Access Intelligence, LVA, Lilly USA

At Lilly, the work is demanding because patients are waiting. We unite caring with discovery to help make life better for people around the world, knowing that every decision, every detail, and every day matters. Headquartered in Indianapolis, Indiana, our over 50,000 employees around the globe take on complex challenges to discover and deliver life-changing medicines, strengthen how health is understood and managed, and support the communities we serve. This is hard, urgent, selfless workbut its work worth doing. If youre driven by purpose and ready to bring your best to work that truly matters for patients, we invite you to join us.

Sr. Principal AI/ML Engineer - Market Access Intelligence, LVA, Lilly USA Tech

At Lilly, the work is demanding because patients are waiting. We unite caring with discovery to help make life better for people around the world, knowing that every decision, every detail, and every day matters. Headquartered in Indianapolis, Indiana, our over 50,000 employees around the globe take on complex challenges to discover and deliver life-changing medicines, strengthen how health is understood and managed, and support the communities we serve. This is hard, urgent, selfless work - but it's work worth doing. If you're driven by purpose and ready to bring your best to work that truly matters for patients, we invite you to join us.

Why This RoleLilly Value & Access (LVA) builds the AI and analytics that shape how our medicines reach the patients who need them - informing payer coverage, real-world evidence, pricing and reimbursement, and market access strategy. This is a hands-on senior engineering role: you will personally design, build, and ship production GenAI and ML systems that decision-makers use every day. You'll work on the hardest, highest-value problems in the LVA portfolio - agentic workflows, retrieval over real-world data, Text2SQL, and predictive analytics on complex payer and outcomes data - and see your work move directly into the hands of business, medical, and access teams.

If you want to build (not just advise), work at the frontier of applied GenAI, and do it where the impact is measured in patient access, this is your role.

Role OverviewYou will work closely with product managers, software engineers, data scientists, architects, and business stakeholders to develop production-ready AI systems leveraging machine learning, deep learning, large language models, retrieval-augmented generation (RAG), Small Language Models (SLMs), intelligent agents, and modern ML Ops practices.

This is a senior individual-contributor role that stays hands-on keyboard. You will spend the majority of your time building - architecting, coding, training, evaluating, and deploying - while providing light technical mentoring to a small number of engineers within your squad. Success means shipping scalable, reliable, well-governed AI solutions that deliver real user value across the LVA portfolio.

What You'll BuildAgentic and LLM systems for market access, real-world evidence, and value/access workflows - multi-agent orchestration, tool use, and intelligent workflow automation.RAG and Text2SQL over real-world data (RWD), market access datasets, and enterprise knowledge sources - embeddings, semantic search, hybrid retrieval, and reranking.Predictive and ML models supporting payer, formulary, book-of-business, and health-outcomes analytics.Production AI services and APIs that integrate with enterprise data platforms, business applications, and downstream product workflows.

Key ResponsibilitiesAI/ML Solution Architecture and Engineering

Architect and build production-grade ML, deep learning, generative AI, and agentic AI systems for LVA market access and engagement use cases.Lead technical design for solutions involving RAG, embeddings, semantic search, LLM orchestration, Text2SQL, recommendation, predictive modeling, and workflow automation.Design scalable AI services and APIs that integrate with enterprise data platforms and product workflows.Design, train, fine-tune, and deploy neural network models (Transformers, CNNs, RNNs, LSTMs as applicable) using PyTorch (TensorFlow a plus), with a focus on performance, generalization, explainability, scalability, and production readiness.Build modular, reusable, observable, secure, and maintainable solutions aligned with enterprise technology patterns.

End-to-End Model and GenAI Delivery

Own the full AI/ML lifecycle: problem framing, data prep, feature engineering, experimentation, training, prompt and context design, evaluation, deployment, monitoring, and continuous improvement.Develop and productionize NLP and LLM capabilities - RAG, prompt engineering, model adaptation, and fine-tuning where appropriate (full, instruction, domain adaptation, and parameter-efficient methods such as LoRA/QLoRA).Apply model distillation, compression, and quantization to balance accuracy, latency, cost, and operational constraints; evaluate and deploy