Reimbursement Specialist, Rare Diseases

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🕒 June 3

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Recruiting.com

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

☁️ SaaS

🤝 B2B

💰 Private Equity Round on 2006-06

Recruitment • SaaS • B2B

Recruiting. com is a recruitment platform that collects personal and non-personal information from job seekers to be used by recruiters and hiring managers. Users can submit their resumes or fill out a short form to be considered for current and future job opportunities. The site emphasizes user privacy and allows users to manage their personal data, including modifying, changing, and deleting their information. Recruiting. com securely stores user data until they request deletion, providing a comprehensive recruitment solution for both job seekers and employers.

📋 Description

• 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.

🎯 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 • 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 an asset.

🏖️ Benefits

• Health insurance • Dental care • Vision care • Backup dependent care • Adoption assistance • Infertility coverage • Family building support • Behavioral health solutions • Paid parental leave • Paid caregiver leave • Professional development opportunities • Mentorship programs • Employee resource groups • Volunteer activities