PHI Access Associate Manager

Johnson & Johnson is recruiting for a Private Health Insurance Access Associate Manager (PHI) located in Riyadh, Saudi Arabia.

Caring for the world, one person at a time has inspired and united the people of Johnson & Johnson for over 125 years. We embrace research and science -- bringing innovative ideas, products and services to advance the health and well-being of people. Employees of the Johnson & Johnson Family of Companies work with partners in health care to touch the lives of over a billion people every day, throughout the world.

Thriving on a diverse company culture, celebrating the uniqueness of our employees and committed to inclusion. Proud to be an equal opportunity employer. And our culture is interconnected by the shared values of Our Credo. It’s a culture that celebrates diversity and diverse perspectives. It helps employees achieve an effective mix between work and home life and supports their efforts to have a positive impact on their communities.

About Janssen

Are you passionate about crafting a world without disease? At the Janssen Pharmaceutical Companies of Johnson & Johnson, we use heart, science and creativity to discover groundbreaking medicines. Transforming lives by finding new and better ways to prevent, intercept, treat and cure disease encourages us. We bring together the best minds and pursue the most promising science.

At Janssen everything we do is engineered with the patient in mind. It drives us to search for new ideas and innovative healthcare solutions. We embrace challenges and develop treatments that will change the lives of our patients .

Duties and Responsibilities:

Establish and nurture sustained and effective relationships with key Private Health Insurance partners in the GCC

• Build strategic framework and interaction model with PHI companies.
• Build a strong network with insurance companies claim management and medical departments.

Build a strong Internal network and initiate timely communication with different brand teams and within HEMAR Team

• Build strong internal networks with CVTs across TAs in addition to collecting and following up with the teams on insights about current issues affecting products access in private market.
• Regular Update to HEMAR & CVTs on current and future private health insurance market initiatives and relevant matters.

Support Formulary Additions and Patient Access to Janssen Portfolio

• Support enlisting in Private Health Insurance Formularies.
• Proactively engaging with PHI partners to ensure seamless reimbursement process of Janssen products, education in proper coding and documentation for patient cases.

Environment Scanning and Policy Shaping Role

• Scan the private market environment and highlight changes in policies and regulations to management.
• Highlight & assess the impact of actual and future changes in the PHI market on Janssen portfolio and patients access to drugs.
• Engage with PHI regulators in the GCC, to support policy shaping for patient access to innovative therapies.

Liaison Between Insurance Companies and Janssen

• Support the internal teams in managing medical cases rejected by insurance companies.

Increase awareness, education, and training to insurance companies:

• Value proposition communication and scientific education of PHI partners
• Identify the Knowledge gaps at PHI medical teams and ensure value communication and scientific engagement
• Engage and educate hospital insurance coordinators to facilitate seamless reimbursement process.
• Build a deep understanding of products clinical data and competitors’ data and costs across TAs to facilitate discussions