At Johnson & Johnson,?we believe health is everything. Our strength in healthcare innovation empowers us to build a?world where complex diseases are prevented, treated, and cured,?where treatments are smarter and less invasive, and?solutions are personal.?Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.?Learn more at https://www.jnj.com
Job Function:
Sales Enablement
Job Sub Function:
Contract Administration and Management
Job Category:
Professional
All Job Posting Locations:
Raritan, New Jersey, United States of America
Job Description:
We are searching for the best talent for Sr Analyst Managed Markets and Specialty in the Enterprise Contract Management Organization, located in Raritan, NJ.
The Sr Analyst will be responsible for the implementation of the Maximum Fair Price ("MFP") for Medicare Part D drugs put into law under the Inflation Reduction Act. In preparation for the MFP program go live of 1/1/26, the Sr Analyst will assist with the development of Contract Admin and Payment SOPs; help establish procedures to address MFP Complaints; perform system testing in coordination with internal and external partners and work with them to remediate any issues identified during the testing. The individual will need to become knowledgeable on the MFP legislation and final guidance published by the Centers for Medicare and Medicaid Services (CMS).
Key Responsibilities:
Day-to-day MFP operations including contract administration, daily payment processing, and research and resolution of disputes/complaints brought forward by dispensing entities and/or CMS.
Reviews payment calculations for accuracy.
Evaluates communication logs to identify frequency of various customer inquiries.
Analyzes disputed claim data and pricing issues to determine root cause and resolve.
Trains less experienced staff on processing refund requests.
Champions a customer-centric approach, displaying a willingness to learn, and effectively communicate complex information in a simplified manner.
Partner with cross-functional teams. Maintain open lines of communication to keep associates, business partners, and management informed of payment statuses, deadlines, and opportunities for process enhancements.
Troubleshoot problems of various complexities with limited supervision and demonstrate high levels of analytical and organizational skills, with the ability to understand systems and processes.
Apply strong analytical skills to interpret payment data and engage with a broad range of associates at J&J and external organizations. Shares knowledge within and across departments, recognizing the effects of actions on processes involving multiple business partners.
Qualifications
Education:
A minimum of a Bachelor's degree or University equivalent degree is required.
Experience and Skills:
Required:
A minimum of 2 years of relevant work experience
Proven ability to handle conflicting priorities and meet deliverables and deadlines
Experience with data analytics, including analysis, interpretation, and presentation to leadership
Proven track record to build and support strong, positive relationships with internal and external partners
Microsoft Excel proficiency, including pivot tables and VLOOKUP
Preferred:
Contract development and/or contracting system experience
Understanding of all phases of the contract continuum and business processes
Working experience in business analytics, finance analytics, legal analytics, or contract analytics
Experience in training, coaching, or people leadership/management
Financial and audit controls knowledge
Project management experience/skills
Healthcare contracting and industry experience is a plus
Experience with Model-N or Revitas, Sarbanes -Oxley (SOX), or Database Management.
Other:
This position will required to work hybrid and report to work to Raritan, NJ and may require up to 10% domestic or international travel.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers , internal employees contact AskGS to be directed to your accommodation resource.
LI-Hybrid
The anticipated base pay range for this position is :
$77,000 to $124,200
Additional Description for Pay Transparency:
Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave - 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave - 10 days Volunteer Leave - 4 days Military Spouse Time-Off - 80 hours Additional information can be found through the link below. https://www.careers.jnj.com/employee-benefits
