Bilingual Reimbursement Specialist

This is a fully remote position, open to applicants in Canada.

📋 Description

• Oversee and manage all necessary elements to secure prescription drug coverage for patients.

• Collaborate with insurance companies, physician’s offices, and healthcare professionals to optimize reimbursement solutions.

• Handle documents, submissions, and relevant paperwork with insurance providers and public/federal funding programs.

• Implement Financial Means Tests to enhance patients’ prescription drug coverage.

• Manage pharmacy operations once funding has been secured.

• Develop and maintain comprehensive knowledge of public/private and federal funding mechanisms, as well as Rare Disease funding organizations in the US and Canada.

• Maintain daily communication with the Program Manager and Associate Program Manager regarding new and ongoing projects.

• Exhibit thorough understanding of rare disease program offerings, pathophysiology, therapeutic areas, disease processes, mechanisms of action, and rare disease standard operating procedures (SOPs).

• Coordinate with physicians and healthcare professionals to prepare submissions that align with payer specifications and criteria.

• Navigate complex lobbying processes to secure prescription drug coverage and reimbursement for essential and costly medications.

• Report all Adverse Events to the appropriate units or departments.

• Perform additional duties and tasks as required.

⛳️ Requirements

• Post-secondary education or equivalent in a related field.

• At least 1 year of experience in customer service within an office environment.

• Minimum of 1 year of experience in the pharmaceutical, insurance, or healthcare-related sectors.

• Previous experience in reimbursement and knowledge of public, private, and federal reimbursement processes is essential.

• Strong proficiency in Microsoft applications (Outlook, Word, Excel).

• Professional, courteous, and efficient telephone demeanor.

• Proven ability to manage time, prioritize tasks, and multi-task to meet various competing deadlines.

• Strong communication and interpersonal skills, including the ability to discuss very sensitive topics with patients in a healthcare context.

• Capability to work independently as well as within a team environment.

• High attention to detail.

• Bilingualism in French and English is mandatory.

• Advanced knowledge of the pharmaceutical or insurance industries.

• Strong business and financial acumen.

• Robust analytical and mathematical abilities.

• Effective oral and written communication skills.

• Excellent interpersonal and leadership capabilities.

• Strong organizational skills.

• Ability to consistently meet deadlines.

• Exceptional problem-solving skills.

• Excellent presentation skills.

• Proficient knowledge of Microsoft Word, Excel, PowerPoint, and other Office programs.

🏝️ 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.