Job DetailsPRIMARY DUTIES AND RESPONSIBILITIES:- Develop, implement and support all reimbursement products and processes across Innomar, keeping the goals of Simplification, Streamlining, Automation and adding value top of mind.
- Support Director, Reimbursement in communicating and positioning reimbursement products and provide expertise to the New Business Development team.
- Develop in-depth, program agnostic payer specific prior authorization journeys, identifying areas of opportunity for streamlining and automation.
- Drive development and implementation of Products such as Advocacy and appeals toolkit, conversion program.
- Manage and advise on financial assistance navigation best practices and processes for Programs.
- Identify and promote new innovative solutions and strategic initiatives for reimbursement.
- Drive thought leadership on the Payor Strategies and best practices through ongoing competitive market research to inform and optimize programs and solutions.
- Implement and/or assist with regular meetings with Programs' Reimbursement Specialists and Managers to ensure the consistent sharing of "Best Practices".
- Ensure that all reimbursement projects are monitored for performance improvement and achievement.
- Lead and develop a collaborative relationship with Programs, pharmacy and Learning and Development.
- Program data review, mechanism of coverage and reimbursement status validation, identification of and/or provide solutions to potential coverage issues, recommendations for Program process implementation.
- Develop robust identification, tracking, reporting and solutioning processes for emerging reimbursement issues challenges and/or issues.
- Help to establish key performance indicators (KPIs) and metrics to track payer relations activities, analyze performance data, and generate insightful reports for senior management.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:- Bachelor's degree
- 5+ years in a PSP environment or Payer environment
- Advanced knowledge of pharmaceutical industry
- Deep expertise in Canadian public and private payer environment
- Strong business and financial acumen
- Strong analytical and critical thinking skills
- Ability to communicate effectively both orally and in writing
- Effective interpersonal and leadership skills, proven collaborator
- Effective organizational skills; attention to detail
- Ability to consistently meet deadlines
- Excellent problem-solving skills: ability to resolve issues effectively and efficiently
- Excellent presentation skills
- Extensive knowledge of Microsoft Word, Excel, PowerPoint, Teams and other Office Programs
- Strong working knowledge of CRM platforms
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:- Ability to communicate effectively both orally and in writing
- Effective interpersonal and leadership skills, proven collaborator
- Effective organizational skills; attention to detail
- Ability to consistently meet deadlines
- Excellent problem-solving skills: ability to resolve issues effectively and efficiently
- Excellent presentation skills
- Extensive knowledge of Microsoft Word, Excel, PowerPoint, Teams and other Office Programs
- Strong working knowledge of CRM platforms
What Cencora offersWe provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.
Full time
Salary Range*$79,310 CAD - 158,620 CAD
This posting is intended to fill an existing vacancy for our Job Posting Title Senior Manager, Reimbursement - 14-Month Contract role.
Affiliated Companies:Affiliated Companies: Innomar Strategies
