Reimbursement Specialist

Value Apothecaries; Canada; On-site; CAD 65,000 - 90,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision care

Adoption assistance

Infertility coverage

Family building support

Parental leave

Job summary

Cencora in Canada is seeking a Reimbursement Specialist to support patient and provider programs and pharma commercialization services. You will work with program managers, insurers, and healthcare professionals to secure prescription drug coverage and navigate public, private and federal funding mechanisms.

The role emphasizes rare disease programs, cross-functional collaboration, and attention to detail in documentation and submissions. A strong customer-service profile is essential.

Qualifications

• Experience in pharmaceutical, insurance or healthcare-related industries.
• Experience with reimbursement and knowledge of public, private and federal reimbursement.
• Strong communication and interpersonal skills for sensitive patient discussions.
• Ability to work independently and in a team.
• Excellent time management and multi-tasking.

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 disease mechanisms and funding mechanisms.
• Exhibit 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 to prepare submissions to payers.
• Coordinate and manage all aspects required to obtain prescription drug coverage for patients.
• Coordinate cases with insurance companies and healthcare professionals to maximize reimbursement solutions.
• Navigate lobbying processes to obtain prescription drug coverage and reimbursement.
• Coordinate documents, submissions and related paperwork to insurance and funding programs.
• Implement Financial Means Test as required to maximize coverage.
• Coordinate pharmacy processes once funding is obtained.
• Report Adverse Events to assigned units/departments.
• Other duties as required.

Skills

Reimbursement knowledge

Healthcare industry

Customer service

Communication skills

Bilingual French/English

Microsoft Office

Tools

Outlook

Word

Excel

Job description

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.

Job Details

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

Work Experience:

• Minimum of 1 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
• 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

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

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.

• medical, dental, and vision care
• backup dependent care
• adoption assistance
• infertility coverage
• family building support
• behavioral health solutions
• paid parental leave
• paid caregiver leave
• training programs
• professional development resources
• 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 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 commi