Therapy Access Manager

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Job Description - Therapy Access Manager

Johnson & Johnson HCS, Inc. is recruiting for a Therapy Access Manager in our Phoenix Arizona Territory. At Johnson & Johnson Innovative Medicine (JJIM), what matters most is helping people live full and healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time. And we pursue the most promising science, wherever it might be found. Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS)team is recruiting for a Therapy Access Manager which will be a field-based position. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. An important aspect of patient unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence. The Therapy Access Manager (TAM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Pulmonary Hypertension therapies. This role involves investing time (up to 75%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the Life Every patient's healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start or stop a treatment is overwhelming. J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful. Primary Responsibilities:
  • Primary responsibilities include the following. Other duties may be assigned.
  • Equip HCPs and their staff, through education, to navigate the access and payer approval process, identify access barriers that the HCP must act to overcome, and highlight HC Pactions that support access to therapy. Develop and execute an education plan consisting of prioritized activities to best educate the HCPs in territory.
  • Act with a sense of urgency to address critical access and affordability issues for patients
  • Collaborate with field support team members such as sales representatives and key account liaisons and serve as reimbursement expert for the local healthcare market team
  • Monitor, analyze, and triage situations which may adversely impact patient access to therapy.
  • Liaise with entire Payer Access department, other internal groups including sales, and medical groups, and HCPs to identify and resolve trending issues regarding patient access to therapies.
  • Educate HCPs regarding the access and payer approval process for Janssen PH therapies.
  • Serve as subject matter expert for internal stakeholders and external HCPs regarding education on Medicare treatment guidelines, Medicaid Managed Care, commercial plans, PBM designs, policy changes, formulary status and the impact of healthcare reform on PAH coverage. Maintain and share relevant information regarding account contacts, prior authorization requirements, trends, competitive intelligence, etc. with the Payer Access Department.
  • Educate peers in the local healthcare market about various elements of payer access, including reimbursement, medical coverage policies and medical versus pharmacy benefit designs.
  • Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training
Required
  • Must live within assigned geographic region
  • A minimum of a Bachelor's degree
  • Superior communication skills (written and verbal) and excellent follow through
  • Ability to develop and execute education plans
  • Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner
  • Two years of reimbursement or relevant managed care experience or Experience in pulmonary arterial hypertension (PAH) or related areas of cardiology and/or pulmonology
Preferred
  • Advanced degree, or clinical license preferred
  • Five years relevant experience of which three years are experience in specialty disease state(s)
  • Experience and prior interaction with payer decision makers
  • Proven ability to thrive in both an independent setting and in a cross functional / team environment.
  • Strong clinical knowledge as it relates to payer approval process, and solid business acumen.
  • Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
  • Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage and payment) is preferred.
  • Demonstrated competence with salesforce.com CRM use, native iOS app use, Microsoft Word, and Excel
  • Success exhibiting peer leadership, mentorship and coaching to new hires as well as the rest of the team.
Johnson & Johnson is an Affirmative Action and 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, or protected veteran status and will not be discriminated against on the basis of disability. For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit
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