Reimbursement Specialist - Healthcare jobs in Portland, OR

Job Title: Reimbursement Specialist

Date: April, 09, 2024

Location: Vancouver, BC

Remote: Yes

Business Unit: Health

Department: Pharma Patient Solutions

This is a great REMOTE opportunity to support a global pharmaceutical company that focuses on innovative medicines and is a leader in many therapeutic areas!   If you a experience in drug reimbursement or related field, and want to make a positive impact in patients lives, apply today!  Calian Patient Support Programs offers competitive salaries and a great benefits plan to all employees! 

The Reimbursement Specialist (RS) works directly with patients to secure private or public insurance reimbursement for identified company brands. The RS represents patients with private or public insurers in an effort to optimize drug coverage and works collaboratively with the Health Management and Clinical Support teams to provide optimal patient support.

Roles and Responsibilities:

• Provide direct telephone assistance to patients requiring reimbursement support.
• Participate in the completion of paperwork and follow-up on submissions regarding drug reimbursement/coverage through private or public insurers to optimize drug coverage.
• Track and document all case information using the program IT system.
• Collaborate with Clinical Support Specialist team to provide optimal patient support and communication.
• Through patient-oriented solutions, manage challenging patient situations with empathy and patience.
• Ensure quality assurance with respect to all mandates related to the patient support program.

Qualifications:

• English and French bilingualism (oral and written) is an asset.
• Experience in drug reimbursement assistance navigation required.
• Understanding of private and public payer systems is required.
• Ability to work in a cross-functional team.
• Computer skills, understanding of multiple software applications (MS Office).
• Strong MS Excel skills.
• Ability to build and maintain strong relationships with a variety of customers (patients, Healthcare providers, caregivers).
• Discretion, maturity, flexibility, sound judgment.
• Ability to manage deadlines.
• Strong communication skills, both oral and written.