Spécialiste de remboursement - Bilingual Reimbursement Specialist

at  Cencora

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• University Degree in a related industry;
• Minimum of 3 years’ experience in the pharmaceutical, insurance or healthcare-related industries;
• Previous experience in reimbursement and Knowledge of public, private and federal reimbursement is required;
• Minimum of three (3) years’ experience in a Customer Service setting; OR Five (5) years or more tenure as a Sr. Reimbursement Specialist
• Professional / courteous / efficient telephone manner;
• Strong proficiency in Microsoft applications (Outlook, Word, Excel);
• 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, including the ability to communicate with patients in a healthcare setting on extremely sensitive topics;
• Ability to work independently and in a team environment;
• Attention to detail; and
• Bilingualism, French/English.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Advanced knowledge of pharmaceutical, or insurance industry
• 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
  Le candidat retenu pourrait avoir des contacts quotidiens avec des clients, des patients ou des pairs unilingues anglophones d’équipes interfonctionnelles.
  The successful candidate may have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.

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 hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

PRIMARY DUTIES AND RESPONSIBILITIES:

• Daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects;
• Coordinate cases with physician and healthcare professionals in order to prepare submission meeting specific specifications/criteria set by public/private payers.
• Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients;
• Coordinate cases with insurance companies, physician’s offices and healthcare professionals in order to maximize reimbursement solutions;
• Navigate through the complex lobbying process to obtain prescription drug coverage and reimbursement for these life-saving and costly medications;
• 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
• The Reimbursement Specialist will also be assigned other duties and tasks as required from time to time.