Healthcare Policy Reporting Specialist I

This is a fully remote position, open to applicants in Canada.

📋 Description

• Conduct investigations and extract essential healthcare payer policy information for client-facing reports.

• Oversee established reporting processes while ensuring high levels of data accuracy and efficiency through quality assurance measures.

• Engage directly with clients to comprehend their needs, define deliverables, and present results.

• Work collaboratively with internal stakeholders to perform analysis and create insights via dashboards and visualizations.

• Provide support and mentorship to new employees through training when requested.

• Represent the research team in cross-departmental strategic initiatives.

• Assess content and processes, creating innovative strategies to enhance accuracy and efficiency.

• Maintain a comprehensive database of healthcare payer policies.

• Oversee internal research tools.

• Perform quality-control assessments on both personal and colleagues’ work.

• Develop a thorough understanding of the US healthcare environment.

• Operate independently with minimal supervision.

⛳️ Requirements

• Proficient in Microsoft Office Suite, especially Excel, at an intermediate to advanced level.

• Possess research skills, including the ability to synthesize and analyze insights from extensive data sets.

• Capable of summarizing, presenting, and defending findings to both internal and external stakeholders.

• Strong organizational and problem-solving abilities.

• Keen attention to detail.

• Effective verbal and written communication skills.

• Ability to clearly and concisely communicate and present findings to clients.

• A bachelor’s degree in a relevant field (life science, social science, language-focused humanities) or 1–3 years of experience in a similar role is advantageous.

• At least 1 year of experience in Quantitative & Qualitative Research is required.

• Familiarity with Prior Authorization, Billing and Coding, and Medical reimbursement is beneficial.

• Experience in communicating findings to external clients is a plus.

• Prior knowledge of the US healthcare market is preferred.

• Previous experience in healthcare data is an asset.

• Scientific background or work experience in pharmaceuticals, oncology, immunology, medical devices, procedures, diagnostics, or related therapy areas is desirable.

• Understanding of the US pharmaceutical, medical device, or diagnostic market access landscape is beneficial.

• Familiarity with biomarkers, companion diagnostics, personalized medicine, biosimilars, cell and gene therapies, and monoclonal antibodies is preferred.

• Knowledge and/or experience with CPT/HCPCS codes is an asset.

• Understanding of medical device industry standards and compliance, particularly in launch and reimbursement, is advantageous.

• Knowledge and/or experience in precision medicine and clinical genomics is highly valued.

• Experience in processing or approving diagnostic coverage claims is a plus.

🏝️ Benefits

• Competitive compensation package including extended health benefits.

• Paid time off.

• Volunteer leave.

• Employer-matching retirement savings.

• Company-paid Employee Assistance Program.

• Excellent opportunities for personal and career development.

• Collaborative and supportive company culture.

• Flexible scheduling across time zones.

• Work-life balance.

• Monthly team lunches and virtual social activities.