Reimbursement Specialist, Rare Diseases

Cencora

2d

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.

Requirements

• Minimum of 3 years’ experience in the pharmaceutical, insurance or healthcare-related industries
• Previous experience in reimbursement and Knowledge of public, private and federal reimbursement is required
• 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
• 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

Nice To Haves

• Bilingualism, French/English is an asset

Responsibilities

• 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

Benefits

• Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed