Reimbursement Specialist Express Scripts Canada

3 weeks ago

Mississauga, Canada Cigna Group Full time

Position Overview The Reimbursement Specialist assumes responsibility for managing reimbursement related issues for patients requiring specialty medications. This role acts as a patient advocate and works closely with patients to navigate and secure potential sources of reimbursement, bringing more convenience, lower spend, and better health outcomes to patients. Location & Work Environment Mississauga Head Office – Hybrid 2 days per week. Essential Functions Determine operational processes and lead internal and external teams in implementation of program launch and ongoing utilization through assigned and self‑initiated pull‑through efforts. Drive continual process improvements to enhance work efficiencies and optimize member experience, and provide training to internal team members as required. Manage case‑by‑case reimbursement for patients requiring specialty medications; gather all pertinent information, coordinate patient cases, manage applications, and work directly with private, public, or manufacturer‑sponsored drug funding programs to optimize reimbursement. Communicate and educate patients regarding their private drug coverage and options, including status of prior authorization requests. Identify and resolve reimbursement issues to facilitate pharmacy processes including prescription processing and invoicing. Identify gaps and opportunities for clinical education and healthcare support, and liaise with the appropriate internal teams or external organizations to provide and enhance patient care. Maintain and manage standard operating procedures and specialty medication funding program database. Develop and maintain relationships with private/public payers, manufacturers, and plan sponsors; apply knowledge and insights to enhance specialty pharmacy service offerings. Qualifications Bachelor's Degree preferred. 3–5 years of experience in the pharmacy benefit management, insurance, pharmacy biotechnology, or pharmaceutical industries; customer service and/or reimbursement background. Demonstrated commitment to improving patient care #J-18808-Ljbffr

  • OAS and OBIEE Developer

    4 weeks ago

    Mississauga, Canada Express Scripts Inc. Full time

    OverviewThe OAS and OBIEE Developer is responsible for designing, developing, and maintaining business intelligence solutions using Oracle Analytics Server (OAS) and Oracle Business Intelligence Enterprise Edition (OBIEE). This role involves translating requirements into interactive dashboards, reports, and data visualizations, creating and adjusting ETL...

  • Bilingual Talent Acquisition Specialist

    2 weeks ago

    Mississauga, Canada Express Scripts Pharmacy Benefit Services Full time

    Bilingual Talent Acquisition Specialist (French & English) - Express Scripts Canada Join to apply for the Bilingual Talent Acquisition Specialist (French & English) - Express Scripts Canada role at Express Scripts Pharmacy Benefit Services Under the direction of the Talent Acquisition Manager, Bilingual Talent Acquisition Specialist will work closely with...

  • Clinical Pharmacist

    4 weeks ago

    Mississauga, Canada Express Scripts Inc. Full time

    OverviewThe job profile for this position is Clinical Pharmacist, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...

  • Clinical Pharmacist

    4 weeks ago

    Mississauga, Canada Express Scripts Pharmacy Benefit Services Full time

    Join to apply for the Clinical Pharmacist - Express Scripts role at Express Scripts Pharmacy Benefit ServicesJoin to apply for the Clinical Pharmacist - Express Scripts role at Express Scripts Pharmacy Benefit ServicesGet AI-powered advice on this job and more exclusive features.The primary role of this position is develop, manage, and deliver Express...

  • Senior Full Stack Developer

    4 weeks ago

    Mississauga, Canada Express Scripts Inc. Full time

    Express Scripts Canada is actively looking to hire a Senior Full Stack Developer. The successful candidate will work closely with the business to define how best to address business challenges faced by our customers and our internal operations. The Senior Developer will clarify functional requirements and non-functional requirements and develop effective...

  • OAS and OBIEE Developer

    4 weeks ago

    Mississauga, Canada Express Scripts Pharmacy Benefit Services Full time

    OAS(Oracle Analytics Server) and OBIEE Developer - Express Scripts CanadaJoin to apply for the OAS(Oracle Analytics Server) and OBIEE Developer - Express Scripts Canada role at Express Scripts Pharmacy Benefit ServicesOAS(Oracle Analytics Server) and OBIEE Developer - Express Scripts Canada5 days ago Be among the first 25 applicantsJoin to apply for the...

  • Bilingual Dental Consultant

    2 weeks ago

    Mississauga, Canada Express Scripts Pharmacy Benefit Services Full time

    Overview Express Scripts Canada has an exciting opportunity for a Dentist who is looking to expand their career to use analytical and investigative skills along with their practice and knowledge of benefit coverage. This part-time role in the Business Integrity team enhances the ESC value proposition for customers by ensuring the integrity of health claims...

  • Bilingual Dental Consultant

    3 days ago

    Mississauga, Canada Express Scripts Inc. Full time

    The job profile for this position is Medical Claims Review Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see...

  • Linux & Middleware Administrator - Express Scripts Canada

    4 weeks ago

    Mississauga, Canada Express Scripts Pharmacy Benefit Services Full time

    Linux & Middleware Administrator - Express Scripts Canada Express Scripts Canada is looking for a Linux and Middleware Administrator to be part of the Infrastructure Engineering team. The primary objective of the Incumbent will be to work as a member of the Technology Services Teams working closely with Business stakeholders, Project Managers, IS Management...

  • Senior Manager, Corporate Marketing and Communications

    2 weeks ago

    Mississauga, Canada Express Scripts Pharmacy Benefit Services Full time

    Senior Manager, Corporate Marketing and Communications - Express Scripts CanadaJoin to apply for the Senior Manager, Corporate Marketing and Communications - Express Scripts Canada role at Express Scripts Pharmacy Benefit ServicesSenior Manager, Corporate Marketing and Communications - Express Scripts Canada2 days ago Be among the first 25 applicantsJoin to...