Reimbursement Specialist

Our client is committed to excellence in the healthcare sector, fostering a vibrant, inclusive workplace that values your talents. Join a team that celebrates diversity and encourages professional growth, as they continue to develop and grow in the world of pharma! Focused on patient care, they require a Reimbursement Specialist to join their team.

Compensation

They are offering an hourly rate of $25 - $28/hour, accompanied by a health spending account which offers personalized healthcare spending flexibility.

The Opportunity

This organization is an established and growing healthcare services organization supporting patients, healthcare providers, and pharmaceutical partners through specialized patient access and medication support services.

With a strong focus on service excellence and operational efficiency, the organization works within a highly regulated healthcare environment where accuracy, confidentiality, responsiveness, and strong relationships are essential. This is an excellent opportunity for an experienced reimbursement professional who enjoys being hands-on, supporting a team, solving complex issues, and helping improve processes in a growing organization.

Position Description

This is an exciting opportunity for an experienced drug reimbursement professional with strong leadership capabilities to join a growing healthcare organization in a key operational role.

The Reimbursement Specialist will take on a lead role, by overseeing the day-to-day activities of a reimbursement team, ensuring work is effectively coordinated, service levels are maintained, and complex cases and escalations are handled appropriately. You will act as a knowledgeable resource for the team while also working closely with healthcare provider offices and other external partners.

The successful candidate will be someone who understands the complexities of public and private drug coverage, can confidently troubleshoot challenging reimbursement situations, and enjoys coaching others and improving the way work gets done.

This is a hands-on lead position that is perfect for someone who wants to remain close to the day-to-day operation rather than move into a purely administrative management role.

Your responsibilities will include, but are not limited to, the following:

• Coordinate daily workflow and provide hands-on leadership, coaching, and mentorship to the reimbursement team.
• Serve as a senior resource for complex reimbursement files, escalations, and procedural questions, providing support during high-volume periods.
• Build and maintain strong relationships with healthcare providers and external partners to ensure effective service delivery and address issues proactively.
• Review files, workflows, and performance metrics to identify gaps, improve quality, and enhance team productivity and efficiency.
• Develop and maintain procedures and workflows while supporting the implementation of new programs and operational initiatives.
• Act as a subject matter expert on public and private drug reimbursement processes, ensuring compliance with applicable policies and regulations while handling confidential information with discretion.

Experience

• 5+ years of experience within drug reimbursement, patient access, specialty pharmacy, healthcare administration, insurance, or a closely related environment a MUST have. Candidates without such experience will NOT be considered.
• Previous experience providing leadership, mentoring, coaching, or senior-level guidance to a team is strongly preferred.
• Strong practical understanding of public and private drug reimbursement processes.
• Experience handling complex cases, escalations, and reimbursement-related challenges.
• Demonstrated ability to identify process gaps and implement practical workflow improvements.
• Experience working directly with healthcare providers, clinics, pharmacies, insurers, or other healthcare stakeholders.
• Experience working in a regulated or highly confidential healthcare environment is an asset.

Qualifications

• Post-secondary education and health care administration, business administration, pharmacy-related discipline
• Strong knowledge of drug reimbursement policies, procedures, and processes.
• Excellent communication and interpersonal skills with the ability to work effectively with both internal teams and external health care partners.
• Demonstrated leadership and coaching abilities.
• Strong customer service orientation and professional, solution-focused approach
• Proficiency in Microsoft Office.

Education

Completion of post-secondary school required.

Additional Information

• Job ID: 10624
• Job Type: Permanent, Full-Time | On-Site
• Job Categories: Admin Support
• Manages Others: No
• Required Travel: No
• Relocation Assistance: No

This is a critical role within the organization and, following the recruitment and selection process, the selected candidate should expect to receive an offer promptly.

Use of Artificial Intelligence

We do NOT use artificial intelligence to screen, rank or select candidates. The merits of every single application will be judged by a human. AI may be used to craft correspondence or write a job posting but never in the decision-making as to candidate suitability.

In accordance with Canadian laws, it is the policy of Stoakley-Stewart Consultants to consider all qualified individuals for available positions without regard to race, colour, religion, sexual orientation, country of origin, age, disability etc.

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