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Job Function:

Market Access

Job Sub Function:

Reimbursement

Job Category:

Professional

All Job Posting Locations:

Toronto, Ontario, Canada

Job Description:

Johnson & Johnson Innovative Medicine, is recruiting for an Access & Affordability Manager, BioAdvance. This position is located in Toronto, Ontario. This is a hybrid role which includes to be on-site 3 days a week.

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/creative-medicine

Job Summary





The position is responsible for providing sophisticated support for complex reimbursement issues that are escalated by the BioAdvance Coordinators and/or BioAdvance Regional Managers. The position acts as a coach and mentor for BioAdvance colleagues regarding the evolving reimbursement landscape and industry trends. Develops and updates reimbursement support materials/tools as needed to ensure standardized and efficient approaches to reimbursement. The role has oversight and management of the BioAdvance compassionate use and financial assistance (co-pay) programs. The role is very dynamic requiring agility and sound knowledge of both the Public and Private payor systems in Canada, and supports a diverse portfolio of products.

Key Responsibilities

Lead all aspects of the provision of sophisticated support for advanced complex reimbursement issues, including research regarding eligibility, coverage and payer criteria.

People leadership of the Sr. Access & Affordability Associate focusing on employee engagement and talent development where you will provide strong team direction to the direct report and oversee a team of 10 contracted Reimbursement Analysts Vendors to ensure delivery of contracted services.

Partner with the appropriate payer and the Janssen Access team (as appropriate) to actively resolve complex reimbursement issues

Drive efficient standardization across the Reimbursement Centre of Excellence and the BioAdvance field team, through best practice sharing, development of S.O.P.s,



templates, process maps, and metric maintenance.

Partner with the Manager, BioAdvance Professional Development to ensure BioAdvance Regional Managers and BACs are knowledgeable with new standards, SOPs, renewals, etc.

Act as a coach and mentor for the BACs and BioAdvance Regional Managers regarding the evolving reimbursement landscape. Share best in class methodologies to ensure standardized and efficient approaches to problem resolution.

Manage the BioAdvance compassionate use and financial assistance programs for Immunology and Oncology portfolios, enabling strong reporting and tracking of activities to measure and monitor utilization of the programs. Seek out opportunities to improve processes and drive efficiencies in these programs enabling compliant turnaround of such requests and expeditious patient care.

Track overall reimbursement metrics to facilitate effective collaboration and partnering with Access to signal and where required, resolution, to:

Define and upscale identified trends eg. Tiering, appeal denials, etc.

Share discrepancies in application of reimbursement by the related jurisdictions

Utilization of compassionate and financial assistance programs and changes thereto

Providing strong leadership and direction to a team of 4 Reimbursement Analysts, with a focus on employee engagement and talent development

Qualifications

Required

Undergraduate in Science, Business or related field required,MBA an asset

Minimum of 5-8 years experience in patient support roles, leading and securing reimbursement for pharmaceutical products (biologic and Oncology preferred). eg. Insurance company, pharmacy, healthcare related

📌 Access & Affordability Manager, BioAdvance - J&J Innovative Medicine (Toronto)
🏢 Biopharma Asia
📍 Toronto