Bilingual Specialist, Reimbursement

Shoppers Drug Mart - Mississauga, ON (30+ days ago)

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Location:
1685 Tech Ave, Mississauga, Ontario, L4W 0A7

Take ownership and find more ways to care about our local store owners in a career at Shoppers Drug Mart Central Office / Store Support. Provide great service, specific expertise and actionable advice to support Associate-Owners and their staff in delivering the best health, beauty and convenience services to Canadians.

Why this role is important?

Reimbursement Specialist

Location: Mississauga, ON

Specialty Health Network (or SHN, as we call ourselves) is a growing division of Shoppers Drug Mart, with a strong entrepreneurial spirit. We pride ourselves in having an awesome work culture and fun environment! We offer competitive salaries, a great benefit package, Shoppers Drug Mart discount, Goodlife gym discount, RRSP/Pension plans, Employee share ownership plan, professional training and development and many more perks!

Shoppers Drug Mart was acquired by Loblaw in 2014, the largest employer in Canada – making your career opportunities within our larger organization - endless!

Basic Function

The Reimbursement Specialist is directly responsible for the management of individual reimbursement cases within a variety of client program(s).

Nature and Scope

The Reimbursement Specialist is responsible for ensuring that SDMSHN reimbursement cases are managed effectively on a day-to-day basis. The incumbent must be able to work effectively, with short lead times and changing customer demands. As the position deals with highly sensitive information, the incumbent is expected to act in a diplomatic professional manner, and maintain patient confidentiality, as per SDM Specialty Health Network policy and legal requirements.

What you will do:
Maintains an expert level of knowledge of reimbursement mechanisms in the public and private arenas, specifically within assigned territory

Works collaboratively with the Field Case Manager/Case Manager to address patients concerns or needs and escalations interrupting the patient journey.

Communicate with clients to obtain consent and to gather relevant financial information in order to facilitate the provision of reimbursement services.

Liaise with the required parties (provincial and private insurers, physicians, nurses, pharmacists, employers’ human resource representatives and internal staff), act as a patient advocate, explore all options for funding of medications and/or services, determine coverage details and develop/maintain complete and accurate documentation required to facilitate a successful outcome of the reimbursement process.

Administers financial means tests and manages all aspects of financial assistance within the program as applicable

Work with staff in the coordination of reimbursement services to facilitate medication dispensing, invoicing, payment schedules and loan programs.

Ensure adherence to Rx retention strategies in order to maximize business opportunities for SHN.

Report all Adverse Events (AE) and Product Technical Complaints (PTC) immediately or as soon as possible upon becoming aware of the event as per current policies and procedures.

What you will need:
College Diploma or University degree is required

2-3 years’ experience in the healthcare or pharmaceutical industry, preferably working with directly with patients and with other health professionals (i.e. physicians, nurses, pharmacists)

Experience with public (provincial and federal) and private third party drug reimbursement plans

2-3 years’ experience in a Customer Service or Call Centre setting

Strong Computer skills in a Windows environment using MS Office and experience using a customer relationship database is an asset

Bilingualism (French & English) preferred

Demonstrated ability to work successfully within a fast paced, team based environment

Excellent communication skills, written and verbal, to interact effectively with patients and clients

Demonstrated ability to analyze and interpret information, data, and regulations.

Demonstrated ability to pay attention to details and make decisions using sound judgement.

Flexible to work longer hours, overtime as required

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Why work at Shoppers Drug Mart?

Acting as consultants, supporting internal customers and the Associate-Owners, you will get experience unique to the retail industry while working for an award-winning national brand. Benefit from a purchase discount program, competitive pay and online learning through SDMU.

Take ownership of your work and find more ways to care about your work, co-workers, customers and community.

How You’ll Succeed:
At Shoppers Drug Mart Inc. , we seek great people to continually strengthen our culture. We believe great people model our values, are authentic, build trust and make connections.

If that sounds like you, and you are open-minded, responsive to change and up to the challenges provided in a fast-paced retail environment, apply today.

Employment Type:
Full time

Type of Role:
Regular

Shoppers Drug Mart Inc. recognizes Canada's diversity as a source of national pride and strength. We have made it a priority to reflect our nation’s evolving diversity in the products we sell, the people we hire, and the culture we create in our organization. Accommodation is available upon request for applicants with disabilities in the recruitment and assessment process and when hired.

In addition, we believe that compliance with laws is about doing the right thing. Upholding the law is part of our Code of Conduct – it reinforces what our customers and stakeholders expect of us.

Please Note: If you have Employee Self Service (ESS) on Workday, apply to this job via the Workday application.