Reimbursement Specialist, Rare Diseases

This role is in support of Cencora’s patient and provider support and pharma commercialization services in Canada marketed through our Innomar Strategies business.

Responsibilities:

• Daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects;

• Demonstrate in depth knowledge of rare disease program offerings, including the pathophysiology of the disease/product, therapeutic area, disease process, and mechanism of action; and how to apply rare disease SOPs;

• Exhibit in depth knowledge of public/private and federal funding mechanisms as well as Rare Disease funding bodies (US and Canada).

• 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;

• 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.

Education:

• 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 is an asset.

Skills and Knowledge:

• 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

The successful candidate may have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Full time

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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

Accessibility Policy

AmerisourceBergen is committed to fair and accessible employment practices. When requested, AmerisourceBergen will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

$48,000 CAD - 74,030 CADThis posting is intended to fill an existing vacancy for our Reimbursement Specialist, Rare Diseases role.

Affiliated Companies:

Affiliated Companies: Innomar Strategies

Originally posted on Himalayas