Bilingual Spécialiste de remboursement / Bilingual Reimbursement Specialist, Rare Diseases

Cencora; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare solutions provider based in the United States is seeking a Reimbursement Specialist to coordinate prescription drug coverage for patients. The ideal candidate will have experience in the pharmaceutical or healthcare industries, strong customer service skills, and proficiency in Microsoft applications. This full-time position offers significant benefits, including medical, dental, and professional development opportunities.

Benefits

Medical, dental, and vision care

Paid parental and caregiver leave

Professional development resources

Qualifications

• Minimum of 3 years’ experience in pharmaceutical, insurance or healthcare-related industries.
• Previous experience in reimbursement and knowledge of public, private and federal reimbursement is required.
• Ability to work independently and in a team environment.

Responsibilities

• Coordinate and manage all required aspects to obtain prescription drug coverage for patients.
• Communicate with insurance companies for reimbursement solutions.
• Acquire knowledge of public/private and federal funding mechanisms.

Skills

Customer Service

Communication

Microsoft Applications

Analytical Skills

Organizational Skills

Education

Post-secondary education or equivalent in a related field

Experience in pharmaceutical or healthcare industries

Tools

Microsoft Outlook

Microsoft Word

Microsoft 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. Apply today!

Overview

Job Details

• 15 Month contract role

Responsibilities and duties

• Coordinate and manage all required aspects to obtain prescription drug coverage for patients
• Coordinate cases with insurance companies, physician offices and healthcare professionals to maximize reimbursement solutions
• Coordinate documents, submissions and all related paperwork to insurance companies, public/federal funding programs
• Implement Financial Means Test as required to maximize patient prescription drug coverage
• Coordinate pharmacy processes required once funding has been obtained
• Acquire in-depth knowledge of public/private and federal funding mechanisms
• Report all adverse events to the assigned units/departments
• The Reimbursement Specialist may be assigned other duties and tasks as required from time to time

• Daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects
• Demonstrate in-depth knowledge of rare disease program offerings and related SOPs
• Coordinate and manage all aspects required to obtain prescription drug coverage across public/private payers
• Navigate the complex reimbursement processes for life-saving and costly medications

Experience, Education and Requirements

• Éducation post-secondaire ou l' équivalent dans une discipline connexe
• Minimum de 2 ans d'expérience en service à la clientèle, dans un environnement de bureau
• Solide maîtrise des applications Microsoft (Outlook, Word, Excel)
• Capacité à travailler de façon autonome et en équipe; excellente communication interpersonnelle
• Capacité à organiser le temps, prioriser et effectuer plusieurs tâches pour respecter les échéances
• Le bilinguisme (français/anglais) est un atout
• Expérience dans l'industrie des soins de santé, des produits pharmaceutiques ou de l'assurance est un atout

• Experience and Educational Requirements:
• 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 as 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 to meet deadlines
• Strong communication and interpersonal skills, including communicating with patients on sensitive topics
• Ability to work independently and in a team environment
• Attention to detail; bilingualism is an asset

• Minimum Skills, Knowledge and Ability Requirements:
• Advanced knowledge of pharmaceutical, or insurance industry
• Strong business and financial acumen
• Strong analytical and mathematical skills
• Effective oral and written communication
• Interpersonal and leadership skills
• Organizational skills with attention to detail
• Ability to meet deadlines consistently
• Exemplary problem-solving skills; ability to resolve issues 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 day. In 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 includes support for working families, backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. We also offer training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and more.

Full time