Spécialiste de remboursement, maladies rares -Reimbursement Specialist, Rare Diseases

Cencora • Quebec, AB

2d • Hybrid

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 be responsible for daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects. They will 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. The specialist will also exhibit in-depth knowledge of public/private and federal funding mechanisms as well as Rare Disease funding bodies. This role involves coordinating and managing all aspects required to obtain prescription drug coverage for patients, coordinating cases with insurance companies, physician’s offices and healthcare professionals to maximize reimbursement solutions, and navigating the complex lobbying process to obtain prescription drug coverage and reimbursement for life-saving and costly medications. The specialist will coordinate documents, submissions and all related paperwork to insurance companies, public/federal funding programs, and coordinate pharmacy processes required once funding has been obtained. The Reimbursement Specialist will also be assigned other duties and tasks as required from time to time. The successful candidate may have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.

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
• 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

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
• 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
• 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

• medical
• dental
• vision care
• comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
• support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
• variety of training programs
• professional development resources
• opportunities to participate in mentorship programs
• employee resource groups
• volunteer activities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree