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 https://www.policyreporter.com.

About the Team

Our Healthcare Policy Reporting Specialist team is dedicated to delivering exceptional data quality, client satisfaction, and fostering strong team collaboration. We conduct in-depth research on the US healthcare landscape, helping clients analyze policy data that shapes their market access strategies. Through rigorous data synthesis and clear presentation of findings, we provide actionable insights that drive decision-making.

Position Summary
The Healthcare Policy Reporting Specialist I, Research conducts in-depth research on US healthcare policy data and delivers comprehensive payer landscape projects that inform market access strategies for leading pharmaceutical, medical device, and diagnostics companies, as well as academic institutions and organized provider groups.

Role & Responsibilities

• Investigate and extract key healthcare payer policy data for client facing reports for both new and existing reports

• Lead well-established reporting, ensuring continued high data accuracy and efficiency through thorough quality assurance of the policy data set across existing reports.

• As required, HPRSs liaise directly with clients on projects to understand their needs, scope deliverables, and present findings.

• Work collaboratively with internal stakeholders to conduct analysis and generate insights in the form of dashboards/visualizations for the clients.

• With experience, HPRSs will take on additional responsibilities including but not limited to:

• Provide support and guidance to new hires - participate in the mentorship program when requested and conduct training sessions.

• As required, support cross-departmental strategic initiatives as a representative of the research team.

• Evaluate current content & processes and develop innovative approaches for improvement to increase accuracy and efficiency

• In line with ensuring the quality and accuracy of our reports, HPRSs will perform maintenance on a database of healthcare payer policies as needed

• Perform maintenance of internal research tools

• Conduct Quality Control checks on your own work, as well as the work of colleagues as required

• Develop a deep understanding of the US healthcare landscape

• Work independently with minimal supervision

Skills & Qualifications

• 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 defending 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

• 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 (data quality management or research) is considered an asset

• Must have at least 1 year of Quantitative & Qualitative Research experience.

• Experience and/or knowledge in Prior Authorization, Billing and Coding, and Medical reimbursement would be considered an asset

• Experience in communicating findings to external clients is considered an asset

• Prior knowledge of the US healthcare market is preferred

• Previous healthcare data experience is considered an asset

General Pharmaceuticals:

• In-depth scientific knowledge and/or previous work experience in general pharmaceuticals including but not limited to neurosciences, cardiovascular, metabolic, renal, gastroenterology, infectious diseases areas is preferable. Knowledge of the US pharmaceutical market access landscape is considered an asset.

• In-depth scientific knowledge and/or previous work experience in oncology & immunology therapy areas is preferable. Knowledge of the US pharmaceutical market access landscape is considered an asset.

• A strong understanding of key concepts such as biomarkers, companion diagnostics, personalized medicine, biosimilars, cell & gene therapies, and monoclonal antibodies is preferred.

• In-depth scientific knowledge and/or previous work experience in medical devices & procedures is preferable. Knowledge of the US pharmaceutical/medical device market access landscape is considered an asset.

• Knowledge and/or experience in working with Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes is considered an asset.

• Expertise of medical device industry standards and compliance with launch and reimbursement experience is considered an asset.

• In-depth scientific knowledge and/or previous work experience in diagnostic testing areas is preferable. Knowledge of the US pharmaceutical/diagnostic market access landscape is considered an asset.

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

• Knowledge and/or experience in working with Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes.

• Experience in processing/approval of diagnostic coverage claims is considered as an asset

What We Offer

• Competitive compensation package including extended health benefits, paid-time off, volunteer leave, employer-matching retirement savings, etc. and company paid Employee Assistance Program

• 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.

We use AI tools to assist with application screening and to transcribe and summarize interview responses. These tools do not make decisions; all hiring decisions are made by human reviewers.