BMO lending operations associate processing bilingual loan servicing, transactions, and stakeholder requests. Supporting reporting, reconciliations, regulatory compliance, and process improvements.
About the role
- Senior bilingual reimbursement specialist leading rare-disease patient coverage and reimbursement programs at Cencora. Coordinating insurers, healthcare providers, and public funding submissions across Canada.
Responsibilities
- Act as the Team Lead and primary resource for all Reimbursement Specialists within the rare diseases program
- Maintain in-depth knowledge of rare disease program offerings, pathophysiology, therapeutic areas, disease processes, mechanisms of action, and rare disease SOPs
- Communicate daily and continuously with the Program Manager or Associate Program Manager regarding new and existing projects
- Evaluate, develop, maintain, and implement reimbursement processes and protocols
- Implement, monitor, and evaluate departmental KPIs
- Coordinate cases with insurance companies, physician offices, and healthcare professionals to maximize reimbursement solutions
- Prepare and submit documentation and data to insurance companies and public or federal funding programs
- Navigate complex advocacy processes to obtain prescription drug coverage and reimbursement
- Apply financial means testing to maximize patients’ prescription drug coverage
- Coordinate pharmacy processes after funding is obtained
- Manage closing manager schedules and shifts
- Provide sales training related to product reimbursement
- Report adverse events to the relevant departments
- Perform other duties and tasks as assigned
Requirements
- At least three years of experience in the pharmaceutical, biotechnology, or healthcare industry
- Bachelor’s degree and/or a combination of education and experience in a related industry
- Four years of experience in public or private third-party reimbursement, pharmaceutical sales, hospital or physician office settings, managed care, clinical support, or a related field
- Minimum of three years of experience as a Senior Reimbursement Specialist
- Experience in rare diseases may be required
- Knowledge of public, private, and federal reimbursement mechanisms
- Advanced knowledge of the pharmaceutical or insurance industry
- Strong business and financial acumen
- Strong analytical and mathematical skills
- Ability to lead a team and provide direction
- Strong communication and interpersonal skills, including the ability to communicate with patients in a healthcare setting about sensitive topics
- Professional, courteous, and efficient telephone manner
- Strong proficiency in Microsoft Outlook, Word, Excel, PowerPoint, and other Microsoft Office programs
- Proven ability to organize time, set priorities, and multitask
- Ability to work independently and in a team environment
- Strong attention to detail
- Ability to consistently meet deadlines
- Excellent problem-solving skills
- French/English bilingualism is an asset
- Experience in IT project management, customer service, reimbursement programs, or the insurance industry is an asset
Benefits
- Medical, dental, and vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family-building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
- Reasonable accommodations during the employment process
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