Bilingual Reimbursement Specialist

🔥 8 minutes ago

🇨🇦 Canada – Remote

💵 $43.4k - $68k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 0%

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Cencora

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Cencora is a company dedicated to improving the health and well-being of both people and animals globally. Built on the legacy of AmerisourceBergen, Cencora offers a wide range of industry-leading solutions that encompass specialty logistics, warehousing, drug research, clinical development support, and more. They provide commercialization and patient access support and offer wholesale and specialty distribution services. Cencora serves a diverse clientele, including pharmaceutical companies, physician practices, pharmacies, and health systems. The company also extends its services to animal health, managing operations and delivering products for animal pharmaceutical care. With a strong global footprint, Cencora aims to reshape healthcare delivery through innovative products and solutions, striving to create healthier futures for all.

📋 Description

• Communicate daily and on an ongoing basis with the Program Manager / Associate Program Manager regarding new and existing projects • Demonstrate in-depth knowledge of rare disease program offerings, including disease/product pathophysiology, therapeutic areas, disease processes, and mechanisms of action • Apply rare disease SOPs • Demonstrate in-depth knowledge of public, private, and federal funding mechanisms, as well as rare disease funding bodies in the United States and Canada • Coordinate cases with physicians and healthcare professionals to prepare submissions that meet payer specifications and criteria • Coordinate and manage all aspects required to obtain prescription drug coverage for patients • Coordinate cases with insurance companies, physician offices, and healthcare professionals to maximize reimbursement solutions • Navigate the complex advocacy process to obtain prescription drug coverage and reimbursement for life-saving and costly medications • Coordinate documents, submissions, and related paperwork for insurance companies and public/federal funding programs • Implement financial means tests to maximize patients’ prescription drug coverage • Coordinate pharmacy processes once funding has been obtained • Report all adverse events to the appropriate assigned units/departments • Perform other duties and tasks as required

🎯 Requirements

• Postsecondary education or equivalent in a related discipline • Minimum of three years’ experience in the pharmaceutical, insurance, or healthcare-related industries • Previous reimbursement experience and knowledge of public, private, and federal reimbursement programs required • Minimum of three years’ experience in a customer service setting, or five or more years of tenure as a Senior Reimbursement Specialist • Strong proficiency in Microsoft applications, including Outlook, Word, and Excel • Professional, courteous, and efficient telephone manner • Proven ability to organize time, set priorities, and multitask to meet competing deadlines • Strong communication and interpersonal skills, including the ability to communicate with patients in a healthcare setting about highly sensitive topics • Ability to work independently and in a team environment • Excellent attention to detail • Bilingual proficiency in French and English required • Advanced knowledge of the 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 • Excellent problem-solving skills • Advanced knowledge of the pharmaceutical distribution industry • Working knowledge of automated warehouse operating systems • Excellent presentation skills

🏖️ Benefits

• Medical, dental, and vision care • Backup dependent care • Adoption assistance • Infertility coverage • Family-building support • Behavioral health solutions • Paid parental leave • Paid caregiver leave • Training programs • Professional development resources • Mentorship programs • Employee resource groups • Volunteer activities • Reasonable accommodations during the employment process