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Spécialiste de Remboursement Bilingue - Bilingual Reimbursement Specialist

Work from home Full-time role Hiring

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! Job Details Ce rôle consiste à soutenir les services de soutien aux patients et aux prestataires ainsi que les services de commercialisation pharmaceutique de Cencora au Canada, commercialisés par le biais de notre entreprise Innomar Strategies. This role is in support of Cencora’s patient and provider support and pharma commercialization services in Canada marketed through our Innomar Strategies business. Responsabilités: Passer des appels sortants conformément aux protocoles établis; Responsable de la réalisation de rapports d'événements indésirables et suivis connexes avec les patients ou les médecins traitants; Gérer les demandes relatives à la prise en charge des produits cliniques, des procédures spécifiées par le client et autres services divers; Interagit avec les représentants internes et externes tels que les consommateurs et les membres de la famille, les cabinets de médecins, les pharmaciens, les infirmières et autres professionnels de la santé impliqués dans les soins du patient; Garder un ensemble organisé de matériel de référence prêts à l'emploi pour répondre aux demandes de renseignements et rester au courant de l'information scientifique actuelle et de la littérature médicale, tel que du matériel connexe fourni par le client ainsi qu'une vaste formation sur le produit, animée par les experts impliqués dans le développement du produit; Évaluer avec précision l'information clinique avant de décider des mesures à prendre en vue de réduire les risques potentiels; fournir des détails cliniques pour que les autres puissent prendre des décisions finales fondées sur un plan clinique; Gérer les demandes de renseignements relatives à la prise en charge des produits cliniques, les procédures spécifiées par le client et autres services divers; Fournir des séances de formation relatives au produit pris en charge ainsi que coordination de tests et/ou d'administration de produit (s'il y a lieu); Peut être amené à devoir rester en disponibilité/attente dans le cadre de ce rôle. Responsibilities: 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; and Acquire in depth knowledge of public / private and federal funding mechanisms. 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. Niveau d'éducation: Baccalauréat en sciences infirmières Un minimum de 3-5 ans d'expérience en soins infirmiers et dans des domaines reliés à la santé Connaissance générale du remboursement, des programmes d'aide aux patients, des éléments et de la fonctionnalité de bases de données est un atout. Education: Post-secondary education or equivalent in a related discipline; Minimum of 2 years' experience in customer service, in an office setting; Strong proficiency in Microsoft applications (Outlook, Word, Excel); Experience in the healthcare, pharmaceutical or insurance industry is an asset. Bilingualism, French/English is required. Compétences et Connaissances: Baccalauréat en sciences infirmières Un minimum de 3-5 ans d'expérience en soins infirmiers et dans des domaines reliés à la santé Connaissance générale du remboursement, des programmes d'aide aux patients, des éléments et de la fonctionnalité de bases de données est un atout Un baccalauréat ou diplôme connexe en sciences infirmières et une combinaison équivalente d'expérience et de formation est nécessaire. Connaissances cliniques et pharmaceutiques indispensables Solide expérience en gestion de patients Bonne capacité d'analyse, de conception et compétences en résolution de problème Capacité de gérer plusieurs tâches en même temps qu’un processus parallèle Capacité de faire de suggestions sensées et professionnelles au client concernant le dossier d'un patient Possède de solides compétences interpersonnelles et de leadership Solides compétences organisationnelles; attention aux détails Aptitude à utiliser de façon efficace un ordinateur et une bonne connaissance de Microsoft Office Aptitude à communiquer efficacement à l'oral et à l'écrit, ainsi qu'en français et en anglais (oral et écrit). Skills & Knowledge Advanced knowledge of pharmaceutical distribution industry Working knowledge of automated warehouse operating system 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 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 encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and 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 committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned Accessibility Policy AmerisourceBergen is committed to fair and accessible employment practices. When requested, AmerisourceBergen will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment. Salary Range* $44,300 CAD - 68,090 CAD Affiliated Companies: Affiliated Companies: Innomar Strategies Apply To This Job

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