Reimbursement Specialist

Calian Group Ltd.; Toronto; On-site; CAD 100,000 - 125,000; Full time

Job summary

A healthcare services organization is seeking a Reimbursement Specialist in Toronto, Ontario. This role involves assisting patients in accessing medications via public and private insurance plans. The ideal candidate will have at least one year of experience in drug reimbursement and possess strong communication skills. The position offers competitive compensation ranging from $25-$30/hour, along with a supportive work environment and professional growth opportunities.

Benefits

Competitive salary

Comprehensive benefits plan

Access to wellness programs

Professional growth opportunities

Qualifications

• Minimum 1 year of experience in drug reimbursement or patient support programs.
• Discretion and sound judgment in handling confidential information.
• Mental stamina to maintain attention to detail.

Responsibilities

• Provide support to patients requiring assistance with drug reimbursement.
• Complete and follow up on paperwork related to insurance coverage.
• Liaise with insurers to optimize drug coverage for patients.
• Maintain accurate case documentation using internal systems.
• Manage sensitive patient situations with empathy and professionalism.

Skills

Fluent English

Understanding of Canadian public and private payer systems

Excellent communication and interpersonal skills

Strong organizational skills

Ability to work independently and collaboratively

Tools

MS Office Suite

Job description

Length of contract: 1-year contract with possibility of extension.

As a Reimbursement Specialist, you will play a key role in supporting patients through their treatment journey by facilitating access to medications via public and private insurance plans.

You will act as a liaison between patients, healthcare providers, insurers, and internal teams to ensure timely and accurate reimbursement support. Your empathy, attention to detail, and bilingual communication skills will be essential in delivering high-quality service.

Why Join Us?

At Calian, we believe our people are our greatest asset. We are committed to fostering a workplace that supports your well-being, growth, and long-term success:

Supportive Team Environment: You will work in a collaborative environment alongside healthcare professionals, coordinators, and case managers who are passionate about improving patient outcomes.

Professional Growth: We invest in our people. You will have opportunities to expand your knowledge in healthcare systems, and pharmaceutical support services. You will also have access to formal leadership programs designed to help you grow professionally.

Competitive Compensation & Benefits: Enjoy a competitive salary, comprehensive benefits plan, and access to wellness programs that support your personal and professional well-being.

Mentorship & Collaboration: Participate in events like our speed mentoring sessions to connect with senior leaders and peers across the organization.

Join a team that values collaboration, resilience, excellence, and sustainability—and where your contributions truly make a difference.

Responsibilities

Provide direct telephone and email support to patients requiring assistance with drug reimbursement.

Complete and follow up on paperwork related to public and private insurance coverage.

Liaise with insurers and healthcare providers to optimize drug coverage for patients.

Maintain accurate case documentation using internal systems.

Collaborate with Clinical Support Specialists and other team members to ensure seamless patient support.

Manage sensitive patient situations with discretion, empathy, and professionalism.

Ensure compliance with program protocols and quality assurance standards.

Qualifications

Fluent English

Minimum 1 year of experience in drug reimbursement, patient support programs, or healthcare navigation.

Strong understanding of Canadian public and private payer systems.

Proficient in MS Office Suite.

Excellent communication and interpersonal skills.

Ability to work independently and collaboratively in a fast-paced, cross-functional environment.

Strong organizational skills and attention to detail.

Discretion, maturity, and sound judgment in handling confidential information.

Additional Requirements

Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer (finite movements such as typing and other office functions).

Requires mental stamina to maintain attention to detail despite interruptions, and vision to read printed materials and a computer screen.

Must be able to travel up to 10% of the time, including weekends and evenings, to support operations requirements.

Pay Rate:

$25-$30/h