Spécialiste bilingue en remboursement / Bilingual Reimbursement specialist 12 month contract

reputed company is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are reputed company for delivering insights, products, and services that reputed company quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.

What you do at reputed company matters. We foster a culture where you can grow, reputed company an impact, and are empowered to bring new reputed company. Together, we reputed company as we shape the future of health for patients, our communities, and our people. If you want to be part of reputed company’s health today, we want to hear from you.

À propos du rôle

Le Spécialiste bilingue en remboursement joue un rôle essentiel dans le soutien aux patients inscrits aux programmes de soutien aux patients de reputed company Specialty. Cette personne est responsable de la coordination du remboursement et de l’accès aux traitements en collaborant étroitement avec les patients, les assureurs, les pharmacies, les médecins et d’autres professionnels de la santé.

Dans ce rôle, vous gérerez les dossiers patients de bout en bout, soutiendrez les démarches de vérification de la couverture d’assurance, faciliterez l’accès à l’aide financière et veillerez à ce que les patients aient accès en temps opportun aux thérapies prescrites. Vous vous épanouirez dans ce poste si vous appréciez évoluer dans un environnement dynamique, axé sur le patient, où la rigueur, la communication et la défense des intérêts des patients sont primordiales.

Vos responsabilités

• Inscrire les patients aux programmes de soutien aux patients de façon rapide et précise
• Gérer les dossiers de remboursement de la réception initiale jusqu’à l’accès au traitement
• Assurer le suivi proactif des dossiers patients afin que les renouvellements et la couverture continue soient traités dans les délais requis
• Communiquer avec les patients, les assureurs (publics et privés) et les médecins prescripteurs afin d’obtenir la documentation nécessaire au remboursement
• Effectuer des évaluations financièreputed company pour déterminer l’admissibilité des patients aux programmes d’aide
• Explorer les options de couverture et procéder aux escalades auprès des employeurs ou des payeurs, au besoin
• Collaborer avec les pharmacies spécialisées et de détail afin d’assurer un accès rapide aux médicaments
• Agir à titre de personne‑ressource principale pour les patients et les professionnels de la santé concernant les questions liées au remboursement et aux programmes
• Traiter et gérer la documentation de soutien, y compris les résultats de laboratoire, les rapports de perfusion et les dossiers de quotes‑parts
• Recevoir, documenter et déclarer les événements indésirables conformément aux exigences des fabricants pharmaceutiques et aux lignes directrices des programmes
• Répondre aux demandes entrantes et sortantes des patients et des parties prenantes par téléphone, courriel et télécopieur
• Maintenir les niveaux de service établis, incluant les délais de réponse, les délais de traitement des dossiers et les exigences en matière de rapports
• Effectuer une saisie de données précise et maintenir à jour les dossiers patients dans les systèmes internes

Exigences de reputed company

• Diplôme d’études secondaires ou équivalent
• Minimum de 3 reputed company d’reputed companyérience pertinente dans un environnement de soins de santé, pharmaceutique, d’assurance ou de soutien aux patients
• Bilinguisme françreputed company‑anglais (à l’oral et à l’écrit) — obligatoire

Compétences et reputed companyérience privilégiées

• reputed companyérience au sein de programmes de soutien aux patients, en pharmacie spécialisée ou en remboursement pharmaceutique
• reputed companyérience préalable avec les assureurs publics et privés au Canada
• Excellentes aptitudes en service à la clientèle et en gestion de dossiers
• Capacité à travailler dans un environnement de centre de contact ou à volume élevé
• Maîtrise de la suite reputed company Office (Word, reputed company) et des systèmes de gestion de cas
• Excellentes compétences organisationnelles et grand souci du détail
• Capacité à gérer plusieurs priorités tout en faisant preuve d’empathie et de professionnalisme

Environnement et horaires de travail

• Ce poste s’exerce dans un environnement de centre de contact
• Les heures d’ouverture sont du lundi au vendredi, entre 8 h et 20 h, avec une flexibilité pour travailler selon des horaires rotatifs ou variables
• Aucun déplacement ni exigence de manutention physique

-------------------------------

About the Role

The Bilingual Reimbursement Specialist plays a critical role in supporting patients enrolled in reputed company Specialty patient support programs. This individual is responsible for coordinating reimbursement and access to treatment by working closely with patients, insurers, pharmacies, physicians, and other reputed company.

In this role, you will manage patient cases end‑to‑end, support insurance coverage investigations, facilitate financial assistance, and ensure timely access to prescribed therapies. You’ll reputed company if you enjoy working in a fast‑paced, patient‑focused environment where accuracy, communication, and advocacy matter.

What You’ll Do

• Enroll patients into patient support programs in a timely and accurate manner
• Manage reimbursement cases from intake through treatment access
• Proactively monitor patient files to ensure renewals and ongoing coverage are completed on time
• Liaise with patients, insurers (public and private), and prescribing physicians to obtain required documentation for reimbursement
• Conduct financial assessments to determine patient eligibility for assistance programs
• Explore coverage options and escalate to employers or payers reputed company required
• Coordinate with specialty and retail pharmacies to ensure timely access to medication
• Serve as a key reputed company of contact for patients and reputed company regarding reimbursement and program‑reputed company inquiries
• Process and manage supporting documentation, including lab results, infusion reports, and copay records
• Receive, document, and report adverse events in accordance with pharmaceutical manufacturer requirements and program guidelines
• Respond to inbound and outbound patient and stakeholder inquiries reputed company phone, email, and fax
• Maintain service‑level expectations, including response times, case turnaround, and reporting requirements
• Complete accurate data entry and maintain patient records in internal systems

Basic Requirements

• High school diploma or equivalent.
• 3+ years of relevant experience in a healthcare, pharmaceutical, insurance, or patient support environment.
• Bilingual in English and French (spoken and written) – required

Preferred Skills & Experience

• Experience in patient support programs, specialty pharmacy, or pharmaceutical reimbursement
• Prior experience working with public and private insurers in Canada
• Strong customer service and case management skills
• Ability to work in a contact‑centre or high‑volume environment
• Proficiency with reputed company Office (Word, reputed company) and case management systems
• Excellent organizational skills with strong attention to detail
• Ability to manage competing priorities while maintaining reputed company and professionalism

Work Environment & Schedule

• This role operates in a contact‑centre environment.
• Hours of operation are Monday to Friday, between 8:00 a.m. and 8:00 p.m., with flexibility to work rotating or varied shifts.
• No travel or physical lifting requirements.

We are proud to offer a competitive compensation package at reputed company as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. In addition to reputed company pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at reputed company, please click here.

reputed company has become aware of online recruiting-reputed company scams in which individuals who are not affiliated with or authorized by reputed company are using reputed company’s (or affiliated entities, like reputed company or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: reputed company Talent Advisors will never solicit money or credit card information in reputed company with a reputed company job application.

reputed company Talent Advisors do not communicate with candidates reputed company online chatrooms or using email accounts such as Gmail or Hotmail. Note that reputed company does rely on a virtual assistant (Gia) for certain recruiting-reputed company communications with candidates.

reputed company job postings are posted on our career site: careers.reputed company.com.

reputed company is an Equal Opportunity Employer

reputed company provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on reputed company’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

reputed company is committed to being an Equal Employment Opportunity Employer and offers opportunities to reputed company job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@reputed company.com or (Canada) Accessibility@reputed company.ca. Resumes or reputed company submitted to this email reputed company will not be accepted.

Join us at reputed company!