Senior Manager - Reimbursements

Hiring Senior Manager - Reimbursements (Pharmaceutical Industry experience required). Professionals suitable for the below opportunity may send their up-to-date resumes to [email protected].

Requirement Summary

• Project Duration: Initial contract of 1 year, with good possibilities of further extension and potential to convert into a Permanent position.
• Remote-Work Options: Hybrid work - 3 days per week in the office required.
• Job Role/Title: Senior Manager - Reimbursements
• Job Location: Mississauga Ontario - L4W 0A7, Canada.

Key-Skillset/Ideal Candidate for this Role

• Excellent communication skills, verbal and written
• Ability to manage complex projects independently
• Solid understanding of financial assistance programs;
• Minimum 3+ years of experience leading teams
• Bilingualism (French & English) is an asset
• A team player with demonstrated ability to provide superior customer care
• Strong computer skills in a Windows environment using MS Office
• Familiarity with CRM systems such as Salesforce
• Minimum 5+ years previous Reimbursement/Drug Coverage/Insurance experience or equivalent demonstrated experience (e.g., Specialty Pharmaceuticals)
• A university degree or College diploma in a related field preferred

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Role / Job Summary: The Senior Manager, Reimbursement will be a Subject Matter Expert in insurance and drug coverage-related intelligence, as well as be a key point of contact for case escalations. The Senior Manager will also be required to develop strategies to support customers relating to reimbursement issues.

The nature of this role requires using excellent communication, multitasking, and prioritization skills. The incumbent is expected to act in a diplomatic and professional manner while working with short lead times and changing customer demands. As this position deals with highly sensitive information, the incumbent is expected to maintain patient confidentiality per Specialty Health Network policy and legal requirements.

The Senior Manager - Reimbursement, will be performing the major functions listed below. The position may require additional duties/responsibilities that may not be outlined below, and specific functions are subject to change.

• Validating prior authorization requirements;
• Facilitating ongoing training and education;
• Reviewing appropriate billing and coding for drugs;
• Liaise with manufacturers' partners where applicable;
• Assisting with resolving reimbursement issues;
• Work with the Quality Assurance team to monitor, coach, and provide training to staff.
• Interacting and managing key stakeholders within physician’s offices, hospital outpatient locations, clinics, and nurses;
• Manage the reimbursement process for all areas and levels of reimbursement, ensuring that high service and quality standards are met in addition to managing costs and productivity measures for the department;
• Providing information on relevant reimbursement topics related to our client’s products;
• Act as a mentor/coach/resource to the Patient Care Specialists;
• Manage complex reimbursement cases, and provide guidance for appeals and other such escalations of Patient Care Specialists and Appeals Specialists to insure patients receive medication as quickly as possible;
• Manage patient turnaround times to ensure that patients are starting drug therapies as quickly as possible;

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How to Apply: Please inbox me your up-to-date Resume/CV over the email at [email protected].

We appreciate all the applicants for their interest in working with us, however, only those candidates shortlisted for the next steps in the hiring process will be contacted.

Thank you, and have a wonderful day!! :)