Reimbursement Specialist- 12 Month Contract

6 months ago

Mississauga, Canada The Cigna Group Full time

The Reimbursement Specialist assumes responsibility for managing reimbursement related issues for patients requiring specialty medications. This role will act as the patient advocate and work closely with patients to navigate and secure potential sources of reimbursement. Together with the pharmacy services, this role will bring more convenience, lower spend, and better health outcomes to patients.

**This is a 12 Month contract covering Maternity Leave and will have a possibility of extension.**

**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. Provide training to internal team members as required.
- 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.

**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.
- Demonstrated commitment to improve patient care.
- Able to work independently and within a team.
- Excellent written/verbal communication to include providing clear instructions.
- Ability to multitask.
- Strong problem-solving skills with the ability to resolve issues effectively and efficiently.
- Knowledge of the private or public drug reimbursement would be an asset.
- Knowledge of pharmacy dispensing software is preferred.

**Express Scripts Canada is a Cigna company**

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

**About Express Scripts Canada**

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

  • Payroll Specialist, 12-month Contract with

    6 months ago

    Mississauga, Canada Linde plc Full time

    **Payroll Specialist, 12-month contract with benefits, Mississauga, ON** - 24000136 Linde is a leading global industrial gases and engineering company with 2022 sales of $33 billion. We live our mission of making our world more productive every day by providing high-quality solutions, technologies and services which are making our customers more successful...

  • Corporate Recruiter

    5 months ago

    Mississauga, Canada KIA CANADA INC Full time

    **Corporate Recruiter - 12 month contract** The Corporate Recruiter contract role will support the overall operations of the Human Resources team, with an attentive focus in acting as the corporate recruitment lead and onboarding specialist. **Responsibilities** - Review job details and prepare postings; in coordination with hiring managers, determine...

  • Customs Documentation Specialist

    2 weeks ago

    Mississauga, Canada Kuehne+Nagel Full time

    Customs Documentation Specialist - 12 Months Contract -Second ShiftMississauga, Ontario, Canada | Weitere Stellenangebote | Vollzeit | CA2125978Are you thinking about advancing your career with one of the most successful logistics organizations worldwide? Here at Kuehne+Nagel, our Mississauga site is looking for a new Customs Documentation Specialist to...

  • Quality Administrative Assistant

    5 months ago

    Mississauga, Canada ALLSEATING Corporation Full time

    POSITION TITLE: Quality Administrative Assistant REPORTS TO: Quality Department WORK SCHEDULE: Full-Time, Days - 12 Month Contract (maternity leave) **ABOUT ALLSEATING**:For more than 40 years, ALLSEATING has been a leader in the design and development of solutions that adjust to the needs of customers in the office, educational and healthcare industries....

  • Marketing Specialist

    3 months ago

    Mississauga, Canada Katz Group Canada Full time

    The Role: Marketing Specialist - Pharmacy & Health (12-14 month Contract)Reporting to the Marketing Manager – Pharmacy & Health, the Pharmacy & Health Marketing Specialist is responsible and accountable for executing national and regional integrated marketing programs that contribute to the growth of related Rexall businesses and brands, including but not...

  • Bilingual Contract Specialist

    6 months ago

    Mississauga, Canada GE HEALTHCARE Full time

    **Job Description Summary**: Bilingual Contract Specialist Bilingual Contract Specialist The Commercial Contract Specialist, working collaboratively with Legal, is responsible for drafting and reviewing agreements including customer sales contracts, contract amendments, service agreements as well as responding to customer request for proposals (RFPs)....

  • Packager (12-month Contract)

    6 months ago

    Mississauga, Canada Tree of Life Canada Full time

    Overview: **Our core purpose is “We are curators of unique brands, bringing elevated food and beverage experiences to Canadians.”** Tree of Life Canada ULC is an Employer who strives to provide an inclusive work environment that involves everyone and embraces the diverse talent of its people. We are committed to meeting the needs of persons with...

  • Pharmacy Claims Auditor

    1 week ago

    Mississauga, Canada Express Scripts Inc. Full time

    The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

  • Associate Legal Counsel

    2 weeks ago

    Mississauga, Canada Amgen Full time

    **Join Amgen’s Mission of Serving Patients**: At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on...

  • Health & Safety Coordinator (12 Month Contract)

    6 months ago

    Mississauga, Canada John Brooks Company Limited Full time

    **Department**: People & Culture **Location/Territory**: Mississauga, ON **This position is for a 12-month contract.** **WHAT DO WE DO?** We create solutions for the people who keep our world flowing. For over 80 years, John Brooks Company has been solving fluid handling challenges for customers in various industries/markets across Canada by providing a...

  • Pharmacy Claims Auditor

    1 week ago

    Mississauga, Canada Express Scripts Inc. Full time

    The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

  • Coordinator, Human Resources

    5 months ago

    Mississauga, Canada Richemont Full time

    Reference Code: 100483**Coordinator, Human Resources (12 Month Contract)**: - Richemont- Mississauga, ON, CA- Fixed Term- Richemont owns some of the world’s leading luxury goods Maisons, with particular strengths in jewellery, fine watches and premium accessories. Each Maison represents a proud tradition of style, quality and craftsmanship and Richemont...

  • Application System Analyst

    1 month ago

    Mississauga, Canada Jace Holdings Ltd. Full time

    Application System Analyst (12 months contract)Requisition ID: 186059Career Group: Corporate Office CareersJob Category: IT SAP and HR SystemsTravel Requirements: 0 - 10%Job Type: Part-TimeCountry: Canada (CA)Province: Nova Scotia; Alberta; OntarioCity: Stellarton / Calgary / MississaugaEmbark on a rewarding career with Sobeys Inc., where your talents...

  • Application System Analyst

    2 months ago

    Mississauga, Canada Jace Holdings Ltd. Full time

    Application System Analyst (12 months contract)Requisition ID: 184593Career Group: Corporate Office CareersJob Category: Technology Solutions - Store SystemsTravel Requirements: 0 - 10%Job Type: Full-TimeCountry: Canada (CA)Province: Ontario; Alberta; Nova ScotiaCity: Mississauga / Calgary / StellartonEmbark on a rewarding career with Sobeys Inc., celebrated...

  • Accounts Clerk

    6 months ago

    Mississauga, Canada MNP Full time

    What do you think of when you hear the name MNP? Most likely tax and accounting, but as one of Canada’s largest consulting organizations, we’re so much more! We’re also serious about technology. Make an impact with MNP Digital as an Accounts Clerk to support our growing Digital practice for a 12 month term contract. This diverse team of professionals...

  • Associate Legal Counsel

    2 days ago

    Mississauga, Canada Amgen Full time

    Join Amgen’s Mission of Serving Patients At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four...

  • Manager, Design

    5 months ago

    Mississauga, Canada Walmart Canada Full time

    **Position Summary... **:The Manager, Design has ownership and execution of Brand vision and Product Development Direction and Design for multiple categories within a given division to support P&L deliverables. **What you'll do...**: **_Please note this role is a 12 month temporary contract. _** **Category**:Apparel - Drive departmental brand strategy and...

  • Accounts Payable Associate

    6 months ago

    Mississauga, Canada Tree of Life Canada Full time

    Overview: **_ Our core purpose is_**: - _ **_“We are curators of unique brands, bringing elevated food and beverage experiences to Canadians.”_** - For more information please visit our website at: _ - ._ **_ Tree of Life Canada ULC_**: - is an Employer who strives to provide an inclusive work environment that involves everyone and embraces the...

  • Reimbursement Specialist

    6 months ago

    Mississauga, Canada Rx Connect Specialty Pharmacy Full time

    Founded in 2019, Rx Connect Specialty Pharmacy is a proud Canadian company, comprised of healthcare professionals with extensive specialty medication experience with a location in Mississauga, Ontario and another in Calgary, Alberta. We are a distinctive healthcare company, with patient relationship skills that set us apart. Our mission is to provide...

  • Cyber Security Specialist

    3 months ago

    Mississauga, Canada Jace Holdings Ltd. Full time

    Cyber Security Specialist (12 months contract)Requisition ID: 184649Career Group: Corporate Office CareersJob Category: IT Cyber Security OperationsTravel Requirements: 0 - 10%Job Type: Full-TimeCountry: Canada (CA)Province: Ontario; Alberta; Nova ScotiaCity: Mississauga / Calgary / StellartonEmbark on a rewarding career with Sobeys Inc., where your talents...