Marcello Pedruzzi

Angestellt, Head of Tariffs and Quality of Care, Helsana
Zürich, Switzerland

Fähigkeiten und Kenntnisse

Expertise in Benefits/Claims
Expertise in Pharmaceuticals
Expertise in Genetics
Projects
interdisciplinary thinking
Thinking out of the box
Coaching
Creativity
Process management
Regulatory Compliance
Risk management

Werdegang

Berufserfahrung von Marcello Pedruzzi

  • Current 8 months, since Oct 2025

    Head of Tariffs and Quality of Care

    Helsana
  • Current 6 years and 2 months, since Apr 2020

    Head Negotiator - Reimbursement

    Helsana
  • Current 9 years and 8 months, since Oct 2016

    Head of Claims Management - Pharmaceuticals and Genetics

    Sanitas Krankenversicherung

    Our team of specialists (Claims Performance Managers) is the centre of excellence for pharmaceuticals, labs and genetics. Specialised support, business requirements (IT), controlling, directives, compliance, process optimization, automatization and tools are olny some of our tasks. We are also the coordination centre between us (payor), the authorities, the pharmaceutical companies and the service providers (physicians, hospitals, pharmacies). Different projects complete our portfolio.

  • 8 months, Feb 2016 - Sep 2016

    Claims Manager Pharmaceuticals/Genetics

    Sanitas Krankenversicherung

    Benefits/Performance Manager Pharmaceutical/Genetics (Dep. Department Leader) Interface between Specialist(s)/Compliance/IT/Operations Directives and internal audits Performance and processes: description and optimization Customizing of the fares (software) and automatization Useability and tools for the collaborators Specialist claims pharmaceuticals and genetics Scientific support, counselling, evaluation of clinical trials Contact for pharm. companies (incl. clawbacks) and service providers

  • 7 years and 2 months, Jan 2009 - Feb 2016

    Freelance Translator

    Marcello Pedruzzi Übersetzungen

  • 8 months, Jun 2015 - Jan 2016

    Expert Claims Management Pharmaceuticals

    Sanitas Krankenversicherung
  • 9 years and 10 months, Dec 2004 - Sep 2014

    Pharmacist fed.dipl. ETH (MSc) and deputy Manager

    Coop Vitality AG

Ausbildung von Marcello Pedruzzi

  • 2 years and 2 months, Feb 2019 - Mar 2021

    Applied Ethics

    Universität Zürich

  • 9 months, Jun 2018 - Feb 2019

    Process management

    SGO Business School

  • 2006 - 2009

    Übersetzen / Sprachunterricht

    SAL

    Deutsch - English - Italiano

  • 4 years and 10 months, Sep 1999 - Jun 2004

    Pharmaceutical Sciences

    ETH

  • 1 year and 10 months, Sep 1996 - Jun 1998

    Music Theory and Solfege

    Conservatorio G. Cantelli Novara

Sprachen

  • Italian

    C2 (Verhandlungssicher / Muttersprachlich)

  • German

    C2 (Verhandlungssicher / Muttersprachlich)

  • English

    C1 (Fließend)

  • French

    C1 (Fließend)

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