Caseworker

Cencora•CAN > ON > Remote, ON

1d•CA$39,552 - CA$66,847•Onsite

About The Position

This role is in support of Cencora’s patient and provider support and pharma commercialization services in Canada marketed through our Innomar Strategies business. Reporting to the Program Manager, Specialty Services, the Reimbursement Specialist is responsible for undertaking the management of specific projects or cases assigned to him/her with regards to reimbursement, within the Specialty Services department. The Reimbursement Specialist is responsible for overall management of their patient cases. Assists reimbursement processes to enable timely, accurate, and consistent handling of coverage-related requests across customer operations and patient support workflows. Coordinates benefits-related documentation, case updates, follow-up activities, and reimbursement support communications to advance case progression. Resolves routine reimbursement issues, documentation gaps, and workflow exceptions to reduce delays and support access-related outcomes. Maintains accurate case records, reimbursement documentation, and system updates to support operational visibility, reporting readiness, and workflow control. Monitors reimbursement trends, recurring issues, and escalation indicators to support proactive issue resolution and service continuity. Works with internal and external stakeholders to align communications, clarify reimbursement requirements, and support case resolution. Contributes to process improvements, workflow updates, and operational readiness efforts that strengthen scalable and future-oriented reimbursement support services.

Requirements

High School Diploma/GED or equivalent experience required
2+ years of experience in reimbursement support, patient services, customer operations, healthcare support services, case coordination, claims support, or a related field required

Nice To Haves

Certification in reimbursement support, patient access, customer support, service management, customer relationship management systems, or process improvement preferred

Responsibilities

Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients
Coordinate cases with insurance companies, physician’ offices and healthcare professionals in order to maximize reimbursement solutions
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
Acquire in depth knowledge of public / private and federal funding mechanisms
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
Assists reimbursement processes to enable timely, accurate, and consistent handling of coverage-related requests across customer operations and patient support workflows
Coordinates benefits-related documentation, case updates, follow-up activities, and reimbursement support communications to advance case progression
Resolves routine reimbursement issues, documentation gaps, and workflow exceptions to reduce delays and support access-related outcomes
Maintains accurate case records, reimbursement documentation, and system updates to support operational visibility, reporting readiness, and workflow control
Monitors reimbursement trends, recurring issues, and escalation indicators to support proactive issue resolution and service continuity
Works with internal and external stakeholders to align communications, clarify reimbursement requirements, and support case resolution
Contributes to process improvements, workflow updates, and operational readiness efforts that strengthen scalable and future-oriented reimbursement support services