Johnson & Johnson Health Care Systems, part of the Johnson & Johnson family of companies, is recruiting for a TEAM LEAD MEDICAID REBATES, Government Rebate Operations (GRO), to be located in Piscataway, NJ.
Johnson & Johnson Health Care Systems Inc. (JJHCS) provides contracting, supply chain, business services, and strategic solutions to customers and commercial intermediaries of U.S.-based Johnson & Johnson companies, including hospital systems, health plans, distributors, wholesalers, purchasing organizations, government payer programs, and government healthcare institutions in the U.S. JJHCS also engages with customers to provide streamlined supply chain services for our products that seamlessly integrate with customer operations, address shared evolving market challenges to value-based care, and develop innovative solutions that improve patient care and access.
Acting on behalf of Johnson & Johnson pharmaceutical operating companies, the GRO team is responsible for ensuring efficient and compliant participation in base and supplemental Medicaid, Medicare Part D Coverage Gap Discount Program (CGDP) and state pharmaceutical assistance rebate programs. The GRO team is relied upon to provide oversight on all issues relating to rebate analysis and payments, adjudication of such payments on a timely basis and resolution of any disputes on rebate claims. Additionally, GRO develops and implements agreed upon rebate policies and advises Johnson & Johnson pharmaceutical operating companies on strategic and operational issues pertinent to Federal and state rebate programs.
The selected candidate will:
- Report to Senior Manager, Government Renate Operations Medicaid Rebates.
- Supervises base business activities within own sub-team structure, including review of work, ensuring accuracy, timeliness and alignment with guidance documents, SOPs (Standard Operating Procedure) and Work Instructions.
- The Team Leader will be responsible for attracting, developing, and retaining talent, support training, and maintain a collaboration environment among employees.
- Direct people management responsibilities for 5 direct reports.
- Provide leadership oversight to department initiatives and projects.
- Expected to be proficient in all transactional processes performed by direct reports and have a thorough understanding of the overall Government Rebate Operations organization.
- The Team Leader will monitor team efficiency and effectiveness based on pre-determined organization performance metric.
- Analyze multiple types of invoice submissions and administer all rebate payments on behalf of Johnson & Johnson, including analyzing any State resubmissions and price changes, evaluating market and product trends.
- Work closely with Johnson & Johnson operating company partners to ensure accurate and timely payments as well as providing vital information in support of financial planning efforts.
- Ensure accuracy and completeness of payment packages, claim review, commentary and approval for all analyst payments, per the Medicaid Operational Guidelines.
- Identify and implement process improvements to improve operational efficiency.
- Utilize various sources of data, state updates and industry knowledge to collectively integrate, evaluate and provide a critical analysis of data/trending.
- Develop and cultivate key business partnerships especially with States and third-party agencies.
- Stay fully informed of any new regulatory or government rule changes as it relates to states and Medicaid.
Qualifications
- A minimum of bachelor’s degree is required.
- A minimum of six (6) years overall business experience, along with demonstrated progressive responsibility in finance, business operations, administrative services, and analysis is required.
- Experience in Medicaid, Finance, Rebate Management, or Contract Administration is required.
- Three years supervisory experience either direct report or dotted line oversight is required.
- Experience with workload distribution and monitoring of department timelines required.
- Demonstrated ability to influence key stakeholders and decision makers using sound business rationale.
- Project management experience required; Lean certification preferred.
- Sound business knowledge and experience in relation to contracting and contract compliance processes is required.
- The ability to anticipate and communicate the upstream and downstream impacts of process or data changes and provide recommendations for improvement is required.
- Strong communication and interpersonal skills are required.
- Knowledge and usage of SOPS and WIs is required.
- Experience with CORE (or relevant Medicaid contracting/rebate system), Model N and Hewlett Packard Enterprise – Content Manager (HPE) is required.