Sr Analyst Managed Markets and Specialty

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 B...