Benefit Manager Medications/Genetics/Claims Recovery (m/f/d),<br/>80-100%, Zurich / hybrid

About the job

• 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

• 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

• 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