Specialist 4 - Medical Affairs

Title: Credit and Reimbursement Specialist

Description: Job Title: Medical Information Replacement, Credit and Reimbursement Specialist

Position Summary:

The Medical Information Scientific Engagement team is seeking a highly skilled and motivated replacement, credit and reimbursement Specialist to join our team. The ideal candidate will possess extensive experience in developing innovative processes for replacements, credits and reimbursements that comply with regulatory requirements and align with government-funded programs. This role is critical for new product launches.

Essential Functions and Responsibilities:

• Develop and implement efficient processes for managing credits and reimbursements, ensuring alignment with applicable regulatory and government-funded program requirements.
• Collaborate with cross-functional teams to ensure that the credit and reimbursement strategies support our upcoming product launches.
• 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.
• Contribute to strategic planning for product launches with a focus on reimbursement and pricing strategies.

Preferred Skills:

• Experience in establishing new work instructions (WI) and/or standard operating procedures (SOP)
• 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.

Secondary Responsibilities

• Technology and Capabilities Support for GxP systems
o System Training Administrator
o UAT and Off-Script testing for GxP systems
o Project Coordination and Logistical Support
o Documentation Review (SOPs, Training, etc.)

Qualifications:

• Bachelors degree in healthcare, finance, business administration, or a related field.
• 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.
• Prior experience supporting a product launch, particularly in a regulated environment, is highly desirable.
• Ability to work independently, is detailed oriented, and must have excellent oral/written communication skills.
• Strong analytical skills with the ability to interpret complex regulations and policies.
• Excellent communication and interpersonal skills, with the ability to work effectively in a team environment
• Experience and demonstrate proven technical and computer skills, including standard MS Office Software.
• Project Management experience preferred.

You will receive the following benefits:

• Medical Insurance - Four medical plans to choose from for you and your family
• Dental & Orthodontia Benefits
• Vision Benefits
• Health Savings Account (HSA)
• Health and Dependent Care Flexible Spending Accounts
• Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance
• Hospital Indemnity Insurance
• 401(k) including match with pre and post-tax options
• Paid Sick Time Leave
• Legal and Identity Protection Plans
• Pre-tax Commuter Benefit
• 529 College Saver Plan

Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP’s Employment Accommodation policy. Applicants need to make their needs known in advance.