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Reimbursement Specialist

4 months ago

Montréal, Canada Alio Health Full time

**Job Title: Reimbursement Specialist**

**Date: May, 08, 2024**

**Location**:Ottawa, ON**

**Remote: Yes**

**Business Unit: Health**

**Department**:Pharma Patient Solutions**

The Reimbursement Specialist (RS) works directly with patients to secure private or public insurance reimbursement for identified company brands. The RS represents patients with private or public insurers in an effort to optimize drug coverage and works collaboratively with the Health Management and Clinical Support teams to provide optimal patient support.

Roles and Responsibilities:

- Provide direct telephone assistance to patients requiring reimbursement support.
- Participate in the completion of paperwork and follow-up on submissions regarding drug reimbursement/coverage through private or public insurers to optimize drug coverage.
- Track and document all case information using the program IT system.
- Collaborate with Clinical Support Specialist team to provide optimal patient support and communication.
- Through patient-oriented solutions, manage challenging patient situations with empathy and patience.
- Ensure quality assurance with respect to all mandates related to the patient support program.

Qualifications:

- English and French bilingualism (oral and written) is a strong asset.
- Experience in drug reimbursement assistance navigation required.
- Understanding of private and public payer systems is required.
- Ability to work in a cross-functional team.
- Strong MS Excel skills.
- Ability to build and maintain strong relationships with a variety of customers (patients, Healthcare providers, caregivers).
- Discretion, maturity, flexibility, sound judgment.
- Ability to manage deadlines.
- Strong communication skills, both oral and written.