Bilingual Reimbursement Specialist
- Ottawa, ON, Canada
$60,000 – $63,000 per year · Full-time
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Job details
- Pay
- $60,000 – $63,000 per year
- Job type
- Full-time
- Apply by
- Posting language
- English
- Posted
Original job description
At Calian, we help organizations overcome obstacles, manage risks, and drive progress. Since 1982, we’ve grown from a small consulting firm into a trusted global company across defence, space, health, nuclear energy, public safety, and government.
We create innovative solutions that tackle complex challenges and help organizations and communities stay resilient, informed, and connected. If you’re driven by purpose and energized by solving real-world challenges, we want you on our team.
Job Type: Full Time
The Reimbursement Specialist (RS) directly assists patients on identified pharmaceutical company brands to secure private or public insurance reimbursement. They provide direct telephone phone assistance to patients requiring reimbursement support on identified pharmaceutical company brands. They represent the patient with private or public insurers to optimize drug coverage and liaise with Health Management Nurse and Clinical Support Specialist of the program to ensure optimal patient support and communication.
Why Join Us?
At Calian, We Believe Our People Are Our Greatest Asset. We Are Committed To Fostering a Workplace That Supports Your Well-being, Growth, And Long-term Success
- Supportive Team Environment: You will work in a collaborative environment alongside healthcare professionals, coordinators, and case managers who are passionate about improving patient outcomes.
- Professional Growth: We invest in our people. You will have opportunities to expand your knowledge in healthcare systems, and pharmaceutical support services. You will also have access to formal leadership programs designed to help you grow professionally.
- Competitive Compensation & Benefits: Enjoy a competitive salary, comprehensive benefits plan, and access to wellness programs that support your personal and professional well-being.
- Mentorship & Collaboration: Participate in events like our speed mentoring sessions to connect with senior leaders and peers across the organization.
Responsibilities
- Liaise with Clinical Coordinator’s to ensure optimal patient support and communication.
- Track and document all case information using the program IT system.
- Ensure quality assurance with respect to all mandates related to the patient support program.
- Through patient-oriented solutions, manage challenging patient situations with empathy and patience.
- Provide direct telephone assistance to patients requiring reimbursement support on identified company brands.
- Assist with the completion of paperwork and follow up on the submissions pertaining to drug reimbursement/coverage through private or public insurers to optimize drug coverage.
- Fulfill other duties as required.
- Understanding of private and public payer systems.
- Ability to work in cross-functional team.
- Proficiency in computer applications, including Microsoft Word and Excel.
- Build and maintain strong relationships with a variety of customers (patients, HCPs, caregivers).
- Ability to respond diplomatically and professionally to internal/external clients.
- Skilled in responding diplomatically and professionally to both internal and external clients.
- Skilled in handling escalated concerns from patients and healthcare providers, with professionalism and empathy.
- Ability to manage deadlines.
- Strong communication skills, both oral and written.
- English and French bilingualism (oral and written).
- College or University degree.
- Minimum 2 years of experience in drug reimbursement assistance navigation.
- Minimum 1 year of experience in a call center or Patient Support Program.
- Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer (finite movements such as typing and other office functions)
- Requires mental stamina to maintain attention to detail despite interruptions, and vision to read printed materials and a computer screen
- $60,000 – $63,000 per year
Monday to Friday, 12pm-8pm EST.
Vacancy
This posting is for our talent pool as we are proactively engaging with talented professionals for upcoming opportunities. When a position becomes available that aligns with your skills and experience, a member of our recruiting team will reach out to discuss the opportunity in detail.
#CR-LI1#
AI Usage Disclosure
At Calian, we do not use Artificial Intelligence (AI) to screen or evaluate candidates. AI tools may support backend administrative tasks, but they do not influence hiring decisions. All evaluations and decisions are made by real people on our recruitment team and hiring managers. All applicants are reviewed and only those chosen for an interview will be contacted by our recruiting team.
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More about this job
Responsibilities
Assist patients by navigating private and public insurance coverage for designated pharmaceutical brands, including helping complete reimbursement paperwork and following up on submissions. Document case information, coordinate with clinical and program teams, uphold quality requirements, and handle patient concerns with empathy and professionalism.
Requirements
Requires English-French bilingualism, a college or university degree, at least two years of drug reimbursement navigation experience, and at least one year of call center or Patient Support Program experience. Candidates should understand payer systems and demonstrate strong communication, computer, collaboration, customer service, and deadline-management skills.
Skills
- Drug Reimbursement Navigation
- Private and Public Insurance Systems
- Patient Support
- Telephone Assistance
- Case Documentation
- Microsoft Word
- Microsoft Excel
- Cross-Functional Collaboration
- Written Communication
- Oral Communication
- Empathy
- Conflict Resolution
- Deadline Management
- English-French Bilingualism
Benefits
- Comprehensive Benefits Plan
- Wellness Programs
- Professional Development Opportunities
- Leadership Programs
- Mentorship Opportunities
Visa sponsorship
Not detected in the job text
Categories
- Healthcare
- Customer Service & Support
- Administrative
Keywords
- Drug Reimbursement
- Patient Support Program
- Pharmaceutical Support Services
- Private Insurance
- Public Insurance
- Payer Systems
- Drug Coverage
- Reimbursement Paperwork
- Insurance Submissions
- Patient Assistance
- Clinical Coordination
- Case Management
- Case Documentation
- Quality Assurance
- Call Center
- Healthcare Providers
- Caregivers
- Microsoft Word
- Microsoft Excel
- English-French Bilingualism
- Telephone Support
- Customer Service
- Escalation Management
- Cross-Functional Teams