Director, Program Monitoring & Compliance - PECS - Titusville, NJ
Date de publication :
10 octobre 2024Taux d'activité :
100%Type de contrat :
Durée indéterminée- Lieu de travail :PECS
Director, Fraud Waste & Abuse Monitoring and Program Compliance - PECS
J&J Innovative Medicine is recruiting for a Director, Fraud Waste & Abuse (FWA) Monitoring and Program Compliance located in Titusville, NJ.
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/
The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with J&J Innovative Medicine therapies, to help overcome challenges to fulfillment, on-boarding and adherence. You will be a member of the Supplier Management & Operations Excellence (SMOx) leadership team, working closely with PECS Patient Experience teams and other Solutions groups to deliver impact across a suite of patient support programs that ultimately ensure more patients can start & stay on therapy.
Job Description
The Director, Fraud Waste & Abuse (FWA) Monitoring and Program Compliance at Johnson & Johnson will have a unique opportunity to lead and shape the fraud prevention and program compliance efforts within the J&J Innovative Medicine portfolio. This role is critical in ensuring the effectiveness, integrity, and compliance of our organization's patient support programs. We are looking for an especially skilled individual with extensive knowledge of healthcare regulations, along with proven experience in program monitoring, analysis, and compliance management. As the Director, you will have the chance to lead an elite team and develop comprehensive tools to deliver significant business impact.
Key Responsibilities:
Lead Fraud Waste & Abuse Monitoring Team Initiatives:
- Develop and implement a comprehensive strategy for monitoring, identifying, and investigating instances of fraud, waste, and abuse within our patient support programs, adhering to all applicable regulations and internal policies. Types of patient support include programs providing patients with access, affordability, travel, transportation, pharmacy services, education, and other support.
- Lead all aspects of the day-to-day operations of the Fraud Waste & Abuse monitoring function, collaborating with relevant internal and external teams to ensure efficient and effective program compliance.
- Develop and apply internal controls, processes, systems, and data analytics tools to uncover and deter fraud, waste, and abuse. Maintain strict compliance with established guidelines and recommended approaches.
- Lead and mentor a team, providing guidance, support, and coaching to foster their professional growth and achieve program goals.
Shape Program Enhancements & Drive Program Design Innovations:
- Analyze program data and generate reports to measure performance, identify trends, and propose corrective actions, providing actionable insights to different individuals or groups involved.
- Collaborate with cross-functional teams, including Legal, Compliance, Solutions teams, Operations, and Internal Audit, to address compliance issues, develop mitigation strategies, and shape future program requirements.
- Stay informed about industry trends, regulatory updates, and effective approaches to preventing fraud, waste, and abuse. Adapt programs in a proactive manner to meet changing requirements and ensure compliance.
- Provide strategic insights and recommendations to senior leadership regarding program enhancements, risk mitigation strategies, and process improvements.
- Establish and develop connections with external partners, including government agencies, industry associations, and external auditors, to ensure compliance with regulatory standards and industry guidelines.
J&J Enterprise Cash Flow: Directly influence & impact cash flow opportunities through fund recovery, loss avoidance, and cost savings analyses & workstreams across programs.
Culture: Foster a culture of compliance and integrity within the organization, promoting awareness and understanding of fraud, waste, and abuse prevention principles and best practices.
Leadership: As a member of the SMOx Leadership Team, model ethical, Credo-based leadership & decision-making. Serve as a trusted advisor to senior leadership, providing regular updates on program performance, risks, and opportunities for improvement.
Partnership: Collaborate with the Legal and Compliance teams to ensure adherence to regulatory requirements and industry standards in fraud prevention and program compliance. Lead and facilitate training and educational initiatives for internal team members on fraud prevention, program compliance, and risk mitigation strategies.