Act as a Team Lead to all Reimbursement Specialists within the program by being a resource for them
Daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects
Ongoing evaluation of internal reimbursement processes
Reimbursement process and protocol development and maintenance as assigned by the Program Manager / Associate Program Manager
Implementation of processes and protocols with the Program Manager / Associate Program Manager
Implement departmental KPIs as directed by the Program Manager / Associate Program Manager
Monitor and evaluate departmental KPI activities and provide report to the Program Manager / Associate Program Manager
Be responsible to for closing manager schedule / shifts
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
Acquire in depth knowledge of public/private and federal funding mechanisms
Responsible to report all Adverse Events to the assigned units/departments

A minimum of 3 years experience in the pharmaceutical/biotech or healthcare-related industries
Project management experience is an asset
Bilingual (French & English) is required
Advanced knowledge of pharmaceutical distribution 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
Excellent presentation skills
Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs

Reimbursement Specialist, Bilingual, French

Key skills