Reimbursement Specialist - Bilingual - French
Cencora View all jobs
- Canada
- Permanent
- Full-time
- Daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects;
- Demonstrate in depth knowledge of rare disease program offerings, including the pathophysiology of the disease/product, therapeutic area, disease process, and mechanism of action; and how to apply rare disease SOPs;
- Exhibit in depth knowledge of public/private and federal funding mechanisms as well as Rare Disease funding bodies (US and Canada).
- Coordinate cases with physician and healthcare professionals in order to prepare submission meeting specific specifications/criteria set by public/private payers.
- Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients;
- Coordinate cases with insurance companies, physician’s offices and healthcare professionals in order to maximize reimbursement solutions;
- Navigate through the complex lobbying process to obtain prescription drug coverage and reimbursement for these life-saving and costly medications;
- Coordinate documents, submissions and all related paperwork to insurance companies, public/federal funding programs;
- Implement Financial Means Test as required in an effort to maximize patient’s prescription drug coverage
- Coordinate pharmacy processes required once funding has been obtained;
- Responsible to report all Adverse Events to the assigned units/departments;
- The Reimbursement Specialist will also be assigned other duties and tasks as required from time to time.
- Minimum of three (3) years’ experience in a Customer Service setting; OR Five (5) years or more tenure as a Sr. Reimbursement Specialist
- Professional / courteous / efficient telephone manner;
- Strong proficiency in Microsoft applications (Outlook, Word, Excel);
- Proven ability to organize time, set priorities and multi-task in order to meet various competing work deadlines;
- Candidate must have strong communication and interpersonal skills, including the ability to communicate with patients in a healthcare setting on extremely sensitive topics;
- Ability to work independently and in a team environment;
- Attention to detail; and
- Bilingualism, French/English is required.
- Advanced knowledge of pharmaceutical, or insurance industry
- Strong business and financial acumen
- Strong analytical and mathematical skills
- Ability to communicate effectively both orally and in writing
- Effective interpersonal and leadership skills
- Effective organizational skills; attention to detail
- Ability to consistently meet deadlines
- Excellent problem-solving skills; ability to resolve issues effectively and efficiently