Reimbursement Specialist

Cencora

2d•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. The Reimbursement Specialist will also be assigned other duties and tasks as required from time to time.

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