Spécialiste de Remboursement, Maladies Rares

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

📋 Description

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

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

• Utilize knowledge of public/private and federal funding mechanisms, as well as rare disease funding organizations in the US and Canada.

• Collaborate with physicians and healthcare professionals to prepare submissions that meet public/private payer criteria.

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

• Coordinate with insurance companies, physician offices, and healthcare professionals to enhance reimbursement solutions.

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

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

• Implement financial means testing to optimize patients' prescription drug coverage.

• Manage pharmacy processes following the acquisition of funding.

• Report all adverse events to designated units/departments.

• Carry out additional duties and tasks as required.

⛳️ Requirements

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

• A minimum of 2 years of experience in customer service within an office environment.

• At least 3 years of experience in the pharmaceutical, insurance, or healthcare-related sectors.

• Prior experience in reimbursement and familiarity with public, private, and federal reimbursement processes is essential.

• A minimum of three (3) years of experience in a customer service role; OR five (5) years or more as a Senior Reimbursement Specialist.

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

• Professional, courteous, and efficient telephone communication skills.

• Demonstrated ability to organize time, establish priorities, and manage multiple tasks to meet competing deadlines.

• Excellent communication and interpersonal skills, including the capability to discuss sensitive topics with patients in a healthcare context.

• Ability to work autonomously as well as collaboratively within a team environment.

• Strong attention to detail.

• Bilingual proficiency in French and English is required.

• Advanced understanding of the pharmaceutical or insurance industry.

• Strong business and financial insight.

• Excellent analytical and mathematical skills.

• Proficient in both oral and written communication.

• Effective interpersonal and leadership qualities.

• Strong organizational abilities.

• Consistent ability to meet deadlines.

• Outstanding problem-solving capabilities.

• Strong presentation skills.

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

• Familiarity with automated warehouse operating systems is an asset.

• Experience in the healthcare, pharmaceutical, or insurance industry is a plus.

🏝️ 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.

• Reasonable accommodations during the employment process.