Reimbursement Specialist

Job Title: Credit and Reimbursement Specialist

The Medical Information Scientific Engagement team is seeking a highly skilled and motivated replacement, credit and reimbursement specialist to support our team's efforts.

Key Responsibilities:

• Develop and implement efficient processes for managing credits and reimbursements, ensuring alignment with applicable regulatory and government-funded program requirements.
• Analyze and understand wholesaler acquisition costs (WAC) to ensure our pricing strategies are competitive and compliant with government policies.
• Work closely with government agencies to facilitate the clearance of credits and reimbursement claims, maintaining effective communication and relationships.
• Stay updated on changes in regulations and government policies that impact reimbursement processes and communicate these to relevant stakeholders.
• Support the development of training materials and educate internal teams on best practices related to credits and reimbursements.

Required Skills and Experience:

• Familiarity with government-funded programs and their reimbursement processes.
• Experience in developing and implementing innovative solutions to streamline reimbursement processes.
• Knowledge of pharmaceutical and healthcare industry trends and challenges.

Administrative Support:

• Perform administrative duties as needed.

Technical Skills:

• Knowledge of Contact Center processes and policies.
• Knowledge of Medical Information processes and policies.
• Knowledge of Pharmaceutical Industry standards and compliance.

Educational Requirements:

• Bachelor's degree in healthcare, finance, business administration, or a related field.

Preferred Qualifications:

• Proven experience working in credit and reimbursement roles, particularly with government agencies.
• Expertise in wholesaler acquisition costs (WAC) and its implications for product pricing and reimbursement strategies.
• Project Management experience.