Reimbursement Specialist

Accountabilities:

• • Coordinate and manage the end-to-end processes required to obtain prescription drug coverage and reimbursement for patients.
  • Work closely with insurance companies, physician offices, healthcare professionals, pharmacies, and funding organizations to maximize available reimbursement solutions.
  • Prepare, coordinate, and submit required documentation, forms, and supporting information to private insurers and public or federal funding programs.
  • Conduct financial means testing when required to help identify appropriate coverage and maximize available patient support.
  • Coordinate pharmacy-related processes once funding or coverage has been secured, ensuring a smooth transition through the next stages.
  • Build and maintain strong knowledge of public, private, and federal drug funding and reimbursement mechanisms.
  • Review cases carefully, resolve issues efficiently, and ensure accurate and timely follow-up on outstanding requirements.
  • Report adverse events to the appropriate internal teams and departments in accordance with established procedures.
  • Maintain professional, courteous, and efficient communication with patients, healthcare professionals, insurers, and internal stakeholders.
  • Manage multiple cases and priorities while consistently meeting deadlines, service expectations, and quality standards.
  • Contribute to additional operational tasks and initiatives as required, supporting the broader patient and provider services function.

  Requirements:

  • Post-secondary education or equivalent training in business administration, accounting, healthcare, pharmaceutical services, or another related discipline.
  • At least 1–2 years of customer service or office-based experience, with experience in healthcare, pharmaceutical, medical, insurance, or reimbursement environments considered an asset.
  • Strong working knowledge of Microsoft Word, Excel, Outlook, PowerPoint, and other standard office applications.
  • Knowledge of the pharmaceutical distribution industry and familiarity with automated warehouse or pharmacy operating systems is an asset.
  • Strong analytical, mathematical, and financial skills, with the ability to understand and work accurately with reimbursement information.
  • Excellent organizational skills, attention to detail, and the ability to manage multiple priorities and competing deadlines.
  • Strong problem-solving abilities, with a practical and efficient approach to resolving issues.
  • Excellent written and verbal communication skills, with a professional and courteous telephone manner.
  • Strong interpersonal and presentation skills, with the ability to communicate effectively with diverse stakeholders.
  • Ability to work independently while also contributing effectively within a collaborative team environment.
  • Bilingual French/English communication skills are considered an asset.
  • A proactive, reliable, detail-oriented approach and a strong commitment to accuracy, confidentiality, and patient service.

  Benefits:

  • Competitive salary: approximately CAD $39,552–$66,847, depending on experience, qualifications, and other factors.
  • Comprehensive health, dental, and vision coverage.
  • Benefits and resources supporting physical, emotional, financial, and social well-being.
  • Support for working families, which may include backup dependent care, adoption assistance, family-building support, infertility coverage, and caregiver resources.
  • Paid parental leave and paid caregiver leave.
  • Access to behavioral health and wellness resources.
  • Training programs and professional development opportunities to support career growth.
  • Mentorship opportunities and access to employee resource groups.
  • Opportunities to participate in volunteer and community initiatives.
  • A purpose-driven environment focused on improving access to healthcare and supporting patients in obtaining the therapies they need.
  • Remote work options across multiple Canadian provinces, subject to role and location requirements.