Reimbursement Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Reimbursement Specialist coordinating rare-disease prescription coverage and funding submissions for Cencora’s Canadian patient-support services. Managing insurers, healthcare providers, and pharmacy processes through Innomar Strategies.
Responsibilities:
- Support Cencora’s patient and provider support and pharma commercialization services in Canada through Innomar Strategies
- Communicate daily and ongoing with Program Manager / Associate Program Manager for new and existing projects
- Demonstrate in-depth knowledge of rare disease program offerings, disease/product pathophysiology, therapeutic areas, disease processes, mechanisms of action, and rare disease SOPs
- Apply knowledge of public/private and federal funding mechanisms and rare disease funding bodies in the US and Canada
- Coordinate cases with physicians and healthcare professionals to prepare submissions meeting public/private 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 lobbying 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 after funding is obtained
- Report all Adverse Events to assigned units/departments
- Perform other duties and tasks as required
Requirements:
- Minimum of 1 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
- 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 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
- Ability to consistently meet deadlines
- Excellent problem-solving skills; ability to resolve issues effectively and efficiently
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
- Inclusive culture and wellness resources
Similar Jobs
Reimbursement Specialist
Remote Reimbursement Specialist managing Medicare, Medicaid, commercial insurance billing and collections. Supporting Telecare’s behavioral health services through coding, rate updates, and reimbursement operations.
Reimbursement Specialist
Remote Reimbursement Specialist managing Medicare, Medi-Cal, commercial insurance billing and collections. Supporting Telecare’s behavioral health services through coding and reimbursement expertise.
Field Reimbursement Specialist
Field Reimbursement Specialist educating healthcare providers on reimbursement, coverage, and access for Cencora client therapies. Supporting patient access across North Carolina, South Carolina, and Georgia.
Field Reimbursement Specialist
Field Reimbursement Specialist educating providers on pharmacy benefits and resolving specialty medication access barriers for Cencora. Traveling weekly across Illinois, Indiana, and Michigan.
Field Reimbursement Specialist
Field Reimbursement Specialist helping U.S. healthcare providers resolve specialty medication reimbursement and access barriers. Educating office staff on pharmacy benefits, prior authorizations, appeals, and coverage policies.
Reimbursement Specialist
Reimbursement Specialist supporting patient access to life-saving medications at Valeris. Verifying insurance benefits and coordinating reimbursement assistance for patients, providers, and caregivers.
Reimbursement Specialist
Reimbursement Specialist processing medical claims and payer documentation for LUX Infusion’s patient-focused infusion care. Supporting accurate reimbursement and uninterrupted access to therapy.
Senior Reimbursement Specialist
Senior Reimbursement Specialist managing reimbursement strategies and providing health policy guidance in medical devices. Collaborating with various teams to enhance patient access and coding solutions.
Senior Reimbursement Specialist
Senior Reimbursement Specialist optimizing US reimbursement strategies to support business objectives for Merit Medical. Collaborating with multiple teams and building relationships with payers and agencies.
Senior Reimbursement Specialist
Providing high quality customer service and reimbursement support at UBC. Conducting benefit investigations and ensuring reimbursement for client products.
No more related jobs available.