Spécialiste de Remboursement, maladies rares Bilingue​/Rare Diseases​/Reimbursement Specialist, Rare D

Job Details
Ce poste s'inscrit dans le cadre des services d'accompagnement des patients et des professionnels de santé ainsi que des services de commercialisation pharmaceutique proposés par Cencora au Canada, par l'intermédiaire de notre division Innomar Strategies.

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.

Responsabilités

Coordonner et gérer tous les aspects requis afin d'obtenir la couverture de médicaments d'ordonnance pour les patients;

Coordonner les cas avec les compagnies d'assurance, les cabinets de médecins et les professionnels de la santé afin de maximiser les solutions de remboursement;

Coordonner les documents, les sou missions et tous les documents connexes aux compagnies d'assurance, programmes de financement public/fédéral;

Mettre en œuvre le test de moyens financiers tel que requis dans le but de maximiser la couverture des médicaments d'ordonnance du patient

Coordonner les processus de pharmacie requis lorsque le financement a été obtenu; et

Acquérir une connaissance approfondie des mécanismes de financement public/privé et fédéral.

Responsable de signaler tous les événements indésirables aux départements concernés.

Le/la spécialiste de remboursement sera également affecté(e) à d'autres fonctions et tâches au besoin de temps à autre.

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.

Niveau D'éducation

Éducation post-secondaire ou l'équivalent dans une discipline connexe;

Expérience

Minimum de 2 ans d'expérience en service à la clientèle, dans un environnement de bureau;

Solide maîtrise des applications Microsoft (Outlook, Word, Excel);

Manières professionnelles/courtoises/efficaces au téléphone;

Capacité éprouvée à organiser le temps, fixer les priorités et à accomplir de multiples tâches afin de respecter les diverses échéances de travail concurrent es;

Le candidat doit avoir de…