Bilingual Reimbursement Specialist

About Calian

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, 1 year contract (renewable)

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.

French version to follow.

Position Overview

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.

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.
  
  

Qualifications

• English and French bilingualism (oral and written).
• College or University degree.
• Minimum 3 years of experience in drug reimbursement assistance navigation.
• Minimum 2 years of experience in a call center or Patient Support Program.
  
  

Additional Requirements

• 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
• Ability to lift and carry items weighing up to 30 pounds.
• Must be able to travel up to 10% of the time, including weekends and evenings, to support operations requirements
  
  

Compensation

• $60,000 – $64,000 per year
  
  

Schedule

Monday to Friday, 12:00 PM – 8:00 PM EST

Vacancy

We have one available position.

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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.