Reimbursement Specialist

Essential Functions and Responsibilities

Develop and implement efficient processes for managing credits and reimbursements ensuring alignment with applicable regulatory and governmentfunded program requirements


Collaborate with crossfunctional 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 andor standard operating procedures SOP


Familiarity with governmentfunded 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