Healthcare Policy Reporting Specialist I

Company Overview Policy Reporter offers a suite of insights products and consulting services to enhance market access strategies and patient support initiatives. By tracking payer policies in near real time, we ensure that the largest pharmaceutical, medical device and diagnostics manufacturers, leading academic institutions and organized provider groups have the most up-to-date data and evidence-based guidance to help patients access the therapies they need. For more information, please visit About the Team We’re a team of engaged Healthcare Policy Reporting Specialists who prioritize excellent data quality, client satisfaction and team cohesion. We value our supportive community and often find ourselves working collaboratively with one another and engaging in open communication. The Research team conducts research into the US Healthcare landscape to help clients analyze healthcare policy data that impacts market access strategies. We deliver insights to our clients through the quality of our data synthesis as well as the presentation of our findings. The Research Team values: comprehensive and thorough research; attention to detail and high data accuracy; and solution focused problem-solving skills.While we work hard to meet competing deadlines and ensure high quality deliverables, we also prioritize fun. We have had many (now virtual) team events including monthly team lunches, and other virtual social activities. We strive to maintain a positive community where everyone is welcome. Position Summary The Healthcare Policy Reporting Specialist I, Research is responsible for delivering payer landscape projects that impact US healthcare market access strategies. This role involves comprehensive and thorough research; attention to detail and high data accuracy; and solution focused problem-solving skills. They work towards continuous process improvement and provide guidance, support, and training as needed. Our clients include large pharmaceutical, medical device, and diagnostics companies, as well as leading academic institutions and organized provider groups. If successful, you will be joining a friendly and supportive team with a healthy work/life balance and a flexible schedule that can accommodate various time zones. There is an opportunity for professional growth and development as the team continues to expand. Role & Responsibilities

• Investigate and synthesize data on accessing (diagnostic) testing coverage from payer policies, forms, and special advisories
• Conduct analysis and generate insights in the form of dashboards/visualizations for clients
• Act as subject matter expert providing insight into medical necessity, prior authorization, payment complexity
• Support the development of report templates for displaying (diagnostic) coverage insights that aligns with well-established reporting methodologies
• Perform quality assurance on complex reporting produced by Research team members, if required.
• Act as an escalation point throughout the lifecycle of a project, for queries on data extraction and quality assurance practices.
• Produce findings and insights at key milestones of the project, providing these in writing to clients as well as presenting them on conference calls.
• Support with onboarding and training for Research team members on complex reporting projects.
• Provide feedback to Research team members on the quality and timeliness of their work, and share this feedback regularly with their line manager.
• Foster Leadership and Continuous Improvement within the Research Team.
• Participate in the Research Leadership Group, conducting goal setting and steering the direction of the Research team.
• Support initiatives that deliver operational improvements within the Research team, in line with department goals.
• Act as a trainer or mentor for new hires, supporting their onboarding and induction into the Research team.
• Other responsibilities or duties as specified by the company. Skills & Qualifications
• Synthesizing and analyzing insights from large data sets
• Summarizing, presenting, and defending findings to both internal and external stakeholders
• Excellent organizational and problem solving skills
• High attention to detail
• Advanced Microsoft Office Suite, particularly Excel skills
• Effective verbal and written communication; ability to communicate and present findings to clients in a clear and concise manner
• Expert English language skills (both written and verbal).

A significant part of the job requires reading, understanding, and creating sophisticated documents.

• 3+ years experience in a similar position
• A Bachelor’s degree (in life sciences or social sciences preferred)
• Experience in diagnostic healthcare an asset
• Precision medicine and clinical genomics experience highly valued
• Experience collaborating directly with clinicians/healthcare teams an asset
• Experience in processing/approval of diagnostic coverage claims an asset
• Experience with appeals process and compiling cost-benefit analysis an asset
• Prior knowledge of the US healthcare market
• Previous healthcare data experience is considered an asset

What We Offer

• Competitive compensation package including:
• Company-paid drug, dental & extended health benefits
• Short-Term/Long-Term Disability benefits
• Paid-time off
• Volunteer time off
• Employer-matching Group RRSP
• Employee Assistance Program, etc
• Excellent opportunities for personal and career development
• Collaborative and supportive company culture

Policy Reporter’s Core Values

• Excellence
• Value & Respect
• Continuous Learning
• Ownership & Accountability
• Teamwork

Policy Reporter is committed to Employment Equity. Accommodations during the recruitment process are available upon request for candidates with disabilities. Apply tot his job Apply tot his job Apply To this Job