Policy Reporter by Valeris ยท 5 months ago
Contractor (US Payer Policy & Market Access Research), (Remote, CA & US)
United States
Full-time, Contract
Remote
Mid Level
3+ years expPolicy Reporter is a company that offers insights products and consulting services to enhance market access strategies and patient support initiatives. They are seeking a contractor to assist with research by analyzing the US healthcare landscape, particularly focusing on healthcare policy data and payer policies to create customized reports for clients.
Health CareInformation Technology
Responsibilities
Investigate and synthesize data into a comprehensive report on coverage requirements for therapeutics/diagnostic testing/medical device from payer policies, forms, and special advisories
Update comprehensive payer coverage reports to reflect key changes in coverage requirements and approval processes
Ensuring continued high data accuracy and efficiency through thorough quality assurance of the policy data set across existing reports
Support the refinement of report templates for displaying payer policy coverage insights that aligns with well-established reporting methodologies
Work collaboratively with internal stakeholders to 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
As required, the Contractor will liaise directly with clients on projects to present findings and answer queries
Qualification
Required
Intermediate to advanced Microsoft Office Suite, particularly Excel skills
Research competencies including but not limited to synthesizing and analyzing insights from large data sets
Summarizing, presenting, and validating findings to both internal and external stakeholders
Excellent organizational and problem-solving skills
High attention to detail
Effective verbal and written communication; ability to communicate and present findings to clients in a clear and concise manner
3+ years of professional working experience (Full-time)
Preferred
In-depth scientific knowledge and/or previous work experience across different therapeutic areas including but not limited to cardiology, immunology, neurology, nephrology, oncology, and respiratory
Knowledge of the US pharmaceutical, diagnostics, and/or medical device market access landscape
A strong understanding of key concepts such as Policy Coverage, Prior Authorization, Billing and Coding, and Medical reimbursement
A bachelor's degree (in Life sciences, Pharmacy or Social Sciences)
Experience in Pharmaceuticals, Oncology, Medical Devices and/or Diagnostics field
Experience collaborating directly with clinicians/healthcare teams
Experience with appeals process and compiling cost-benefit analysis
At least 1-2 years Quantitative & Qualitative Research experience
Prior knowledge of the US healthcare market access
Previous healthcare data experience
In-depth scientific knowledge and/or previous work experience in Pharmaceuticals including but not limited to neurosciences, cardiovascular, metabolic, renal, gastroenterology, infectious diseases areas
In-depth scientific knowledge and/or previous work experience in Oncology & Immunology therapy areas
A strong understanding of key concepts such as biomarkers, companion diagnostics, personalized medicine, biosimilars, cell & gene therapies, and monoclonal antibodies
In-depth scientific knowledge and/or previous work experience in diagnostic testing areas
Knowledge and/or experience in precision medicine and clinical genomics experience
Experience in processing/approval of diagnostic coverage claims
Knowledge and/or experience in working with Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes
In-depth scientific knowledge and/or previous work experience in medical devices/procedures
Expertise of medical device industry standards and compliance with launch and reimbursement experience
Company
Policy Reporter by Valeris
Policy Reporter by Valeris is an industry-leading service that provides business intelligence to the medical industry.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2019-11-26Acquired
Company data provided by crunchbase