Senior Manager, Reimbursement

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

📋 Description

• Design, implement, and provide support for reimbursement products and processes throughout Innomar.

• Assist the Director of Reimbursement in the communication and positioning of reimbursement products.

• Offer reimbursement expertise to the New Business Development team.

• Create payer-specific prior authorization pathways and pinpoint opportunities for streamlining and automation.

• Spearhead the development and execution of advocacy, appeals toolkits, and conversion products.

• Oversee and provide guidance on best practices and processes for financial assistance navigation.

• Identify and advocate for innovative reimbursement solutions and strategic initiatives.

• Conduct market research on payer strategies and competitive best practices.

• Facilitate the sharing of best practices among Programs’ Reimbursement Specialists and Managers.

• Monitor reimbursement projects to enhance performance and achieve goals.

• Foster collaborative relationships with Programs, pharmacy, and Learning and Development.

• Review program data, verify coverage and reimbursement statuses, identify coverage challenges, and recommend procedural solutions.

• Create processes for tracking, reporting, and addressing emerging reimbursement issues.

• Establish key performance indicators (KPIs) and metrics for payer relations activities and generate reports for senior management.

⛳️ Requirements

• Bachelor’s degree.

• Over 5 years of experience in a Patient Support Program (PSP) or payer environment.

• Advanced understanding of the pharmaceutical industry.

• In-depth knowledge of Canadian public and private payer systems.

• Strong business and financial insight.

• Exceptional analytical and critical thinking abilities.

• Proficient in effective oral and written communication.

• Strong interpersonal and leadership capabilities; proven track record as a collaborator.

• Excellent organizational skills with keen attention to detail.

• Ability to consistently meet deadlines.

• Outstanding problem-solving capabilities.

• Excellent presentation skills.

• Extensive proficiency in Microsoft Word, Excel, PowerPoint, Teams, and other Office applications.

• Strong familiarity with Customer Relationship Management (CRM) platforms.

🏝️ Benefits

• Medical, dental, and vision care.

• Comprehensive wellness benefits that encompass physical, emotional, financial, and social well-being.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Support for family building.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Training programs.

• Resources for professional development.

• Mentorship programs.

• Employee resource groups.

• Opportunities for volunteer activities.

• Reasonable accommodations during the employment process.