Spécialiste de remboursement, Bilingue - Bilingual Reimbursement Specialist
Job Details
Ce rôle vise à soutenir les services de soutien aux patients et aux fournisseurs de soins de santé et les services de commercialisation pharmaceutique de Cencora au Canada, commercialisés par l'intermédiaire de notre entreprise Innomar Strategies.
This role is in support of Cencora’s patient and provider support and pharma commercialization services in Canada marketed through our Innomar Strategies business.
Responsabilités:
Coordonner et gérer tous les aspects requis afin d'obtenir la couverture de médicaments d'ordonnance pour les patients;
Coordonner les cas avec les compagnies d'assurance, les cabinets de médecins et les professionnels de la santé afin de maximiser les solutions de remboursement;
Coordonner les documents, les soumissions et tous les documents connexes aux compagnies d'assurance, programmes de financement public/fédéral;
Mettre en œuvre le test de moyens financiers tel que requis dans le but de maximiser la couverture des médicaments d'ordonnance du patient
Coordonner les processus de pharmacie requis lorsque le financement a été obtenu; et
Acquérir une connaissance approfondie des mécanismes de financement public/privé et fédéral.
Responsable de signaler tous les événements indésirables aux départements concernés.
Le/la spécialiste de remboursement sera également affecté(e) à d'autres fonctions et tâches au besoin de temps à autre.
Responsibilities:
Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients;
Coordinate cases with insurance companies, physician’ offices and healthcare professionals in order to maximize reimbursement solutions;
Coordinate documents, submissions and all related paperwork to insurance companies, public/federal funding programs;
Implement Financial Means Test as required in an effort to maximize patient’s prescription drug coverage
Coordinate pharmacy processes required once funding has been obtained; and
Acquire in depth knowledge of public / private and federal funding mechanisms.
Responsible to report all Adverse Events to the assigned units/departments
The Reimbursement Specialist will also be assigned other duties and tasks as required from time to time.
Éducation:
Solide sens des affaires et sens financier;
Compétences analytiques et mathématiques solides;
Capacité à communiquer efficacement oralement et par écrit;
Compétences interpersonnelles et de leadership efficaces;
Sens de l'organisation; souci du détail;
Capacité à respecter systématiquement les échéances;
Excellentes aptitudes de résolution de problèmes; Capacité éprouvée à résoudre les problèmes avec efficacité et efficience;
Excellentes aptitudes de présentation;
Connaissance de Microsoft Word, Excel, PowerPoint et d'autres programmes Office.
Education:
Post-secondary education or equivalent in a related discipline;
Minimum of 2 years experience in customer service, in an office setting;
Strong proficiency in Microsoft applications (Outlook, Word, Excel);
Professional / courteous / efficient telephone manner;
Proven ability to organize time, set priorities and multi-task in order to meet various competing work deadlines;
Candidate must have strong communication and interpersonal skills;
Ability to work independently and in a team environment;
Attention to detail;
Experience in the healthcare, pharmaceutical or insurance industry is an asset; and
Bilingualism, French/English is an asset.
Compétences et connaissances:
Un baccalauréat ou diplôme connexe en sciences infirmières et une combinaison équivalente d'expérience et de formation est nécessaire.
Connaissances cliniques et pharmaceutiques indispensables
Solide expérience en gestion de patients
Bonne capacité d'analyse, de conception et compétences en résolution de problème
Capacité de gérer plusieurs tâches en même temps qu’un processus parallèle
Capacité de faire de suggestions sensées et professionnelles au client concernant le dossier d'un patient
Possède de solides compétences interpersonnelles et de leadership
Solides compétences organisationnelles; attention aux détails
Aptitude à utiliser de façon efficace un ordinateur et une bonne connaissance de Microsoft Office
Aptitude à communiquer efficacement à l'oral et à l'écrit, ainsi qu'en français et en anglais (oral et écrit)
Knowledge & Skills:
Advanced knowledge of pharmaceutical distribution industry
Working knowledge of automated warehouse operating system
Strong business and financial acumen
Strong analytical and mathematical skills
Ability to communicate effectively both orally and in writing
Effective interpersonal and leadership skills
Effective organizational skills; attention to detail
Ability to consistently meet deadlines
Excellent problem-solving skills; ability to resolve issues effectively and efficiently
Excellent presentation skills
Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs
The successful candidate may have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.
Schedule
Full time
Accessibility Policy
Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.
Salary Range*
$42,200 - 65,010 CAD
Affiliated Companies
Affiliated Companies: Innomar Strategies
Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
Ce rôle vise à soutenir les services de soutien aux patients et aux fournisseurs de soins de santé et les services de commercialisation pharmaceutique de Cencora au Canada, commercialisés par l'intermédiaire de notre entreprise Innomar Strategies.
This role is in support of Cencora’s patient and provider support and pharma commercialization services in Canada marketed through our Innomar Strategies business.
Responsabilités:
Coordonner et gérer tous les aspects requis afin d'obtenir la couverture de médicaments d'ordonnance pour les patients;
Coordonner les cas avec les compagnies d'assurance, les cabinets de médecins et les professionnels de la santé afin de maximiser les solutions de remboursement;
Coordonner les documents, les soumissions et tous les documents connexes aux compagnies d'assurance, programmes de financement public/fédéral;
Mettre en œuvre le test de moyens financiers tel que requis dans le but de maximiser la couverture des médicaments d'ordonnance du patient
Coordonner les processus de pharmacie requis lorsque le financement a été obtenu; et
Acquérir une connaissance approfondie des mécanismes de financement public/privé et fédéral.
Responsable de signaler tous les événements indésirables aux départements concernés.
Le/la spécialiste de remboursement sera également affecté(e) à d'autres fonctions et tâches au besoin de temps à autre.
Responsibilities:
Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients;
Coordinate cases with insurance companies, physician’ offices and healthcare professionals in order to maximize reimbursement solutions;
Coordinate documents, submissions and all related paperwork to insurance companies, public/federal funding programs;
Implement Financial Means Test as required in an effort to maximize patient’s prescription drug coverage
Coordinate pharmacy processes required once funding has been obtained; and
Acquire in depth knowledge of public / private and federal funding mechanisms.
Responsible to report all Adverse Events to the assigned units/departments
The Reimbursement Specialist will also be assigned other duties and tasks as required from time to time.
Éducation:
Solide sens des affaires et sens financier;
Compétences analytiques et mathématiques solides;
Capacité à communiquer efficacement oralement et par écrit;
Compétences interpersonnelles et de leadership efficaces;
Sens de l'organisation; souci du détail;
Capacité à respecter systématiquement les échéances;
Excellentes aptitudes de résolution de problèmes; Capacité éprouvée à résoudre les problèmes avec efficacité et efficience;
Excellentes aptitudes de présentation;
Connaissance de Microsoft Word, Excel, PowerPoint et d'autres programmes Office.
Education:
Post-secondary education or equivalent in a related discipline;
Minimum of 2 years experience in customer service, in an office setting;
Strong proficiency in Microsoft applications (Outlook, Word, Excel);
Professional / courteous / efficient telephone manner;
Proven ability to organize time, set priorities and multi-task in order to meet various competing work deadlines;
Candidate must have strong communication and interpersonal skills;
Ability to work independently and in a team environment;
Attention to detail;
Experience in the healthcare, pharmaceutical or insurance industry is an asset; and
Bilingualism, French/English is an asset.
Compétences et connaissances:
Un baccalauréat ou diplôme connexe en sciences infirmières et une combinaison équivalente d'expérience et de formation est nécessaire.
Connaissances cliniques et pharmaceutiques indispensables
Solide expérience en gestion de patients
Bonne capacité d'analyse, de conception et compétences en résolution de problème
Capacité de gérer plusieurs tâches en même temps qu’un processus parallèle
Capacité de faire de suggestions sensées et professionnelles au client concernant le dossier d'un patient
Possède de solides compétences interpersonnelles et de leadership
Solides compétences organisationnelles; attention aux détails
Aptitude à utiliser de façon efficace un ordinateur et une bonne connaissance de Microsoft Office
Aptitude à communiquer efficacement à l'oral et à l'écrit, ainsi qu'en français et en anglais (oral et écrit)
Knowledge & Skills:
Advanced knowledge of pharmaceutical distribution industry
Working knowledge of automated warehouse operating system
Strong business and financial acumen
Strong analytical and mathematical skills
Ability to communicate effectively both orally and in writing
Effective interpersonal and leadership skills
Effective organizational skills; attention to detail
Ability to consistently meet deadlines
Excellent problem-solving skills; ability to resolve issues effectively and efficiently
Excellent presentation skills
Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs
The successful candidate may have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.
Schedule
Full time
Accessibility Policy
Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.
Salary Range*
$42,200 - 65,010 CAD
Affiliated Companies
Affiliated Companies: Innomar Strategies
Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned