Healthcare Policy Reporting Specialist I

Accountabilities:

Research, investigate, and extract relevant US healthcare payer policy information to develop and update comprehensive client-facing reports.
Manage established reporting processes, ensuring data accuracy, consistency, and efficiency through thorough quality assurance and validation.
Analyze complex quantitative and qualitative datasets, synthesizing findings into meaningful insights that support clients' market access strategies.
Collaborate with internal stakeholders to develop analyses, dashboards, and visualizations that clearly communicate research findings.
Communicate directly with clients when required to understand project objectives, define deliverables, address research needs, and present findings.
Maintain and update healthcare payer policy databases to ensure information remains accurate, relevant, and current.
Perform regular quality control checks on personal deliverables and colleagues' work to uphold research standards.
Maintain internal research tools and contribute to their effective use and ongoing improvement.
Identify opportunities to optimize research methodologies, reporting processes, and data management practices to improve accuracy and operational efficiency.
Develop a strong understanding of the US healthcare landscape, including payer policies, reimbursement frameworks, and market access considerations.
Work independently with minimal supervision while managing multiple projects and competing deadlines.
As experience grows, support the onboarding and development of new team members through mentoring and training activities.
Contribute to cross-functional strategic initiatives as a representative of the research team when required.
Requirements:
At least 1 year of experience in quantitative and qualitative research.
A bachelor's degree in a relevant discipline, such as life sciences, social sciences, or language-focused humanities, is an asset. Alternatively, 1–3 years of experience in a similar research or data quality management role is desirable.
Intermediate to advanced proficiency in Microsoft Office, particularly Microsoft Excel.
Strong research and analytical capabilities, including the ability to interpret, synthesize, and extract insights from large and complex datasets.
Excellent organizational, critical-thinking, and problem-solving skills, combined with exceptional attention to detail.
Strong written and verbal communication skills, with the ability to summarize, explain, and confidently present findings to internal and external stakeholders.
Ability to work collaboratively with different teams while independently managing responsibilities and deadlines.
A proactive, solution-oriented mindset, with a strong sense of ownership, accountability, and commitment to continuous learning.
Previous experience communicating research findings to external clients is considered an asset.
Familiarity with healthcare data, the US healthcare market, and payer policy environments is preferred.
Knowledge of prior authorization, medical billing and coding, and reimbursement processes is an advantage.
Additional industry-specific knowledge considered an asset:
Pharmaceuticals: Scientific knowledge or professional experience in therapeutic areas such as neuroscience, cardiovascular, metabolic, renal, gastroenterology, and infectious diseases. Familiarity with the US pharmaceutical market access landscape is desirable.
Oncology and Immunology: Knowledge or experience in oncology and immunology, including biomarkers, companion diagnostics, personalized medicine, biosimilars, cell and gene therapies, and monoclonal antibodies.
Medical Devices and Procedures: Experience or knowledge of medical devices, clinical procedures, industry standards, regulatory compliance, product launches, and reimbursement processes. Familiarity with CPT and HCPCS coding systems is an advantage.
Diagnostics: Knowledge or experience in diagnostic testing, precision medicine, and clinical genomics. Familiarity with CPT/HCPCS codes and diagnostic coverage and claims approval processes is also valuable.
Benefits:
Competitive compensation package.
Extended health benefits.
Paid time off.
Dedicated volunteer leave.
Employer-matched retirement savings program.
Company-paid Employee Assistance Program (EAP).
Remote working arrangements.
Flexible scheduling to accommodate different time zones.
Opportunities for personal development, professional growth, and career advancement.
Collaborative and supportive team environment.
A culture built around excellence, mutual respect, continuous learning, ownership, accountability, and teamwork.
An inclusive workplace committed to employment equity, with reasonable accommodations available throughout the recruitment process.