Bilingual Reimbursement Specialist

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

📋 Description

• Engage daily and consistently with the Program Manager / Associate Program Manager about both new and ongoing projects.

• Exhibit comprehensive knowledge of rare disease program offerings, encompassing disease/product pathophysiology, therapeutic areas, disease processes, and mechanisms of action.

• Implement rare disease standard operating procedures (SOPs).

• Display extensive understanding of public, private, and federal funding mechanisms, along with rare disease funding organizations in the United States and Canada.

• Collaborate with physicians and healthcare professionals to prepare submissions that align with payer specifications and requirements.

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

• Work with insurance companies, physician offices, and healthcare professionals to optimize reimbursement solutions.

• Navigate the intricate advocacy process to gain prescription drug coverage and reimbursement for essential and expensive medications.

• Organize documents, submissions, and related paperwork for insurance companies and public/federal funding programs.

• Execute financial means tests to enhance patients’ prescription drug coverage.

• Manage pharmacy processes once funding has been secured.

• Report any adverse events to the designated units/departments.

• Carry out additional duties and tasks as necessary.

⛳️ Requirements

• Postsecondary education or equivalent experience in a relevant discipline.

• At least three years of experience in the pharmaceutical, insurance, or healthcare-related fields.

• Required previous reimbursement experience and familiarity with public, private, and federal reimbursement programs.

• Minimum of three years in a customer service environment, or five or more years serving as a Senior Reimbursement Specialist.

• Strong command of Microsoft applications, including Outlook, Word, and Excel.

• Professional, courteous, and effective telephone etiquette.

• Proven capacity to organize time, prioritize tasks, and multitask to meet competing deadlines.

• Strong communication and interpersonal abilities, including the proficiency to discuss sensitive topics with patients in a healthcare context.

• Capability to work both independently and collaboratively within a team.

• Exceptional attention to detail.

• Bilingual proficiency in French and English is mandatory.

• Advanced understanding of the pharmaceutical or insurance sectors.

• Strong business and financial insight.

• Solid analytical and mathematical capabilities.

• Ability to communicate effectively in both spoken and written forms.

• Effective interpersonal and leadership qualities.

• Strong organizational skills.

• Excellent problem-solving abilities.

• Advanced knowledge of the pharmaceutical distribution sector.

• Familiarity with automated warehouse operating systems.

• Outstanding presentation skills.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Backup dependent care assistance.

• Adoption support.

• Infertility coverage.

• Family-building assistance.

• Solutions for behavioral health.

• Paid parental leave.

• Paid caregiver leave.

• Training programs.

• Resources for professional development.

• Mentorship opportunities.

• Employee resource groups.

• Volunteer initiatives.

• Reasonable accommodations during the employment process.