Bilingual Reimbursement Specialist

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

📋 Description

• Engage in daily and continuous communication with the Program Manager / Associate Program Manager concerning both new and ongoing projects.

• Exhibit extensive knowledge of rare disease program services, encompassing disease/product pathophysiology, therapeutic areas, disease processes, mechanisms of action, and the application of rare disease standard operating procedures (SOPs).

• Utilize understanding of public, private, and federal funding sources, as well as 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 elements necessary to secure prescription drug coverage for patients.

• Work alongside insurance providers, physician offices, and healthcare professionals to optimize reimbursement solutions.

• Navigate the lobbying process to secure prescription drug coverage and reimbursement for essential and costly medications.

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

• Implement financial means tests to enhance patients' prescription drug coverage.

• Manage pharmacy processes once funding has been secured.

• Report adverse events to the designated units/departments.

• Undertake additional duties and tasks as necessary.

⛳️ Requirements

• Postsecondary education or equivalent experience in a related field.

• At least three (3) years of experience in a customer service environment, including a minimum of one (1) year within the pharmaceutical, insurance, or healthcare sectors.

• Prior experience in reimbursement and familiarity with public, private, and federal reimbursement programs is mandatory.

• High proficiency in Microsoft applications, including Outlook, Word, Excel, and PowerPoint.

• Bilingual in French and English is required.

• Excellent communication and interpersonal abilities.

• Capability to work independently as well as collaboratively in a team setting.

• Strong attention to detail.

• Professional, courteous, and efficient telephone skills.

• Demonstrated ability to manage time effectively, set priorities, and multitask to meet competing deadlines.

• Ability to discuss sensitive topics with patients in a healthcare environment.

• Advanced understanding of the pharmaceutical or insurance sectors.

• Strong business and financial insight.

• Strong analytical and mathematical competencies.

• Effective communication skills, both verbal and written.

• Strong interpersonal and leadership abilities.

• Effective organizational skills and meticulous attention to detail.

• Consistent ability to meet deadlines.

• Exceptional problem-solving skills, with the capability to address issues effectively and efficiently.

• Advanced knowledge of the pharmaceutical distribution industry.

• Familiarity with automated warehouse operating systems.

• Outstanding presentation skills.

• Proficient in Microsoft Word, Excel, PowerPoint, and other Office applications.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Backup dependent care support.

• Adoption assistance services.

• Infertility coverage options.

• Family-building support resources.

• Behavioral health solutions availability.

• Paid parental leave policy.

• Paid caregiver leave policy.

• Training programs for career advancement.

• Resources for professional development.

• Mentorship opportunities.

• Employee resource group participation.

• Volunteer activity options.