Senior Analyst, Contract Validation and Analytics
Johnson & Johnson Health Care Systems Inc., a member of Johnson & Johnson's Family of Companies, is recruiting for a Senior Analyst, Contract Validation and Analytics (CVA) to support our Enterprise Contract Management (ECM) Team! The location for this position is in Raritan, NJ.
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/.
Are you interested in joining a diverse team delivering outstanding results to our customers? Apply now for this exciting opportunity!
As our Sr. Analyst, CVA, within the U.S. ECM organization, you will be responsible for timely and accurate review of contract compliance for Managed Care Organizations (MCO) and Pharmacy Benefit Manager (PBM) Customers as it pertains to formularies and medical policy guidelines, and will communicate results to key stakeholders, including Customers, Account Management, and internal operations. This role is expected to manage various levels of complex accounts, lead and implement process improvements within the team, and support the internal department metrics and external analytics. You will foster relationships with Operating Companies, Business Partners, and Customers, and help identify additional opportunities to enhance the process, capabilities, and success of the department.
Key Responsibilities:
- Ensure that formulary and medical guideline positioning of J&J and competitor products are in line with contract terms
- Identify potential rebates at risk and recommend corrective action
- Build relationships with internal/external partners to enhance current Customer and internal processes
- Identify areas of opportunity to streamline and automate internal processes and documentation
- Lead outside of base business account compliance reviews to drive success within accounts and across the department and MCO/PBM contracting space
- Provide direction to educate team members on system capabilities and processes in the team’s successful implementation of PBM and MCO contracts.
- Participate and lead inter-company process improvement initiatives, compliance management and reviews, process integration initiatives, relationships with Operating Company partners and external customers.
- Provide critical input to business units ensuring the effective translation of business strategies into compliant contract administration.
