Leistungsmanager Medikamente/Genetik/Rückforderungen (w/m/d), 80-100%, Zürich / hybrid
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This job ad was AI-translated from German. See original Job summary Show Join our team in managing reimbursements for SL medications. Enjoy a collaborative environment with great benefits. Tasks Lead the reimbursement management for SL medications and individual cases. Serve as a contact for complex medication-related performance questions. Evaluate the obligations regarding medication performance and negotiate costs. Skills You need a pharmacy degree and several years of experience, preferably in health insurance. Strong interest in the latest scientific developments in medications. Fluent communication skills in German and English; additional languages are a plus. About the job What you will achieve: Professional responsibility for claims recovery management related to SL medications as well as individual case reimbursements according to Art. 71a-d KVV Contact person for complex benefit questions in the medication department Assessment of the obligation to cover medication costs within the scope of Art. 71a-d KVV (off-label use, off-limitation use), including evaluation of the latest scientific literature Conducting negotiations with marketing authorisation holders (pharmaceutical companies) regarding cost sharing under Art. 71a-d KVV Interdisciplinary project work with other company units such as operational units, the medical advisory service, product management, benefit purchasing, and the legal department Why you will succeed: In addition to a successfully completed pharmacy degree or a comparable scientific qualification, you bring several years of professional experience, ideally in the health insurance industry You have a strong interest in the latest scientific developments in the medication field You find it easy to present complex issues simply and understandably and to develop solutions with a variety of stakeholders (colleagues, medical advisors, service providers, pharmaceutical companies, management, and many more) You think in a networked and analytical way and have a passion for large data sets You communicate fluently in German both orally and in writing, as well as very well in English; any additional language is a plus Our progressive working conditions include, among others: Flexible annual working time model with at least 5 weeks of holiday Modern offices in urban locations Generous arrangements for working from home Participation in the health insurance package Contributions to the pension fund well above the legal minimum Forward-looking issues and a wide range of training and further education opportunities
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