Website Johnson & Johnson
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 Actelion therapies. This role involves investing significant time (up to 75%) on-site with HCPs assessing their education needs and facilitating collaboration with various stakeholders.
- 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 Market Access Department.
- Educate HCPs regarding the access and payer approval process for Actelion therapies.
- 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 HCP actions that support access to therapy. Develop and execute an education plan consisting of prioritized activities to best educate the HCPs in territory.
- Liaise with entire Market Access department, other internal groups including sales, and medical groups, and HCPs to identify and resolve trending issues regarding patient access to therapies.
- Educate peers in the Customer Care Area about various elements of Market 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
- Monitor, analyze, and triage situations which may adversely impact patient access to therapy.
- Strong clinical knowledge as it relates to payer approval process, and solid business acumen.
- Ability to develop and execute education plans
- Demonstrated competence with salesforce.com CRM use, native iOS app use, Microsoft Word, and Excel
- Strong organizational, problem solving and project management skills.
- Five years of specialty disease state experience
- Experience and prior interaction with payer decision makers
- Advanced degree, or clinical license preferred
- Superior communication skills (written and verbal) and excellent follow through
- 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.
- Success exhibiting peer leadership, mentorship and coaching to new hires as well as the rest of the team.
- Two years of reimbursement or relevant managed care experience
- Experience in pulmonary arterial hypertension (PAH) or related areas of cardiology and/or pulmonology
- Proven ability to thrive in both an independent setting and in a cross functional / team environment.
Qualification & Experience:
- Five years relevant experience of which three years are experience in specialty disease state(s)
- Bachelor’s degree
- Must live within assigned geographic region
Company: Johnson & Johnson
Vacancy Type: Full Time
Job Location: Kansas City, MO, US
Application Deadline: N/A