Spécialiste de remboursement, maladies rares Bilingual Reimbursement Specialist, Rare Diseases

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!

Job Details

Principales Fonctions Et Responsabilités :

Communication quotidienne et continue avec le gestionnaire de programme ou le gestionnaire de programme adjoint pour les projets nouveaux et existants;

Démontrer une connaissance approfondie des programmes de maladies rares offerts y compris la physiopathologie de la maladie le produit le domaine thérapeutique le processus de la maladie et le mécanisme daction et comment appliquer les PONspour les maladies rares;

Démontrer une connaissance approfondie des mécanismes de financement public / privé et fédéral ainsi que des organismes de financement des maladies rares (États-Unis et Canada).

Coordonner les cas avec les médecins et les professionnels de la santé afin de préparer des soumissions répondant aux spécifications et aux critères spécifiques établis par les payeurs des secteurs public et privé.

Coordonner et gérer tous les aspects nécessaires à lobtention dune couverture des médicaments dordonnance pour les patients;

Coordonner les cas avec les compagnies dassurance les bureaux de médecins et les professionnels de la santé afin de maximiser les solutions de remboursement;

Parcourir le processus complexe de démarches pour obtenir une couverture pour les médicaments dordonnance et le remboursement de ces médicaments coûteux et qui sauvent des vies;

Coordonner les documents les soumissions et tous les documents connexes aux compagnies dassurance et aux 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 dordonnance du patient

Coordonner les processus de pharmacie requis lorsque le financement a été obtenu; et

Le / la spécialiste de remboursement sera également affecté(e) à dautres fonctions et tâches au besoin de temps à autre.

Primary Duties and 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 physicians 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 patients 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.

Expérience Et Niveau DÉducation Requis :

Diplôme universitaire dans un domaine connexe;

Minimum de 3 ans dexpérience dans lindustrie pharmaceutique lassurance ou dans des secteurs liés aux soins de santé;

Expérience préalable en matière de remboursement et connaissance des remboursements publics privés et fédéral est requise;

Minimum de trois (3) ans dexpérience en service à la clientèle OU Cinq (5) ans ou plus dancienneté à titre de spécialiste de remboursement Sr.

Professionnel(le) courtois(e) et efficace au téléphone;

Excellente maîtrise des applications Microsoft (Outlook Word Excel);

Capacité démontrée à organiser son temps à établir des priorités et à accomplir plusieurs tâches à la fois afin de respecter diverses échéances de travail concurrentielles;

Le / la candidat(e) doit posséder de solides compétences en communication et en relations interpersonnelles y compris la capacité de communiquer avec les patients dans un contexte de soins de santé sur des sujets extrêmement délicats;

Capacité de travailler de façon autonome et en équipe;

Souci du détail; et

Le bilinguisme français / anglais est requis..

Compétences Connaissances Et Aptitudes Requises :

Connaissance avancée de lindustrie pharmaceutique ou de lassurance

Solide sens aigu des affaires et des finances

Solides compétences analytiques et mathématiques

Capacité de communiquer efficacement à la fois oralement et par écrit

Compétences interpersonnelles et de leadership efficaces

Sens de lorganisation; souci du détail

Capacité à respecter les échéances de façon systématique

Excellentes aptitudes en résolution de problèmes; capacité à résoudre les problèmes de façon efficace et efficiente.

Primary Duties and Responsibilities :

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 required.

Experience and Educational 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

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 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

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 companys 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 . 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 requested AmerisourceBergen will accommodate people with disabilities during the recruitment assessment and hiring processes and during employment.

Salary Range

$48500 CAD - 74690

Affiliated Companies :

Affiliated Companies : Innomar Strategies

Required Experience :

IC

Key Skills

Administrative Skills,Time Management,Diplomatic Skills,Listening Skill,Languages Fluency,Organizational Skill,Pressure Management,Discipline Skills,Communication,Relationship Management,Client Services,Flexibility,IT Skill,Orderly Condition,Secretarial Skill

Employment Type : Full-Time

Experience : years

Vacancy : 1