JOB SUMMARY 
Under the supervision of the Program Manager, the Reimbursement Specialist will provide drug coverage 
support to physicians and patients, follow up on submissions pertaining to obtaining coverage through 
private and provincial drug plans, ensure patients have access to their prescribed treatments in a timely 
manner, act as a resource to physicians who are prescribing this medication and provide continuous support 
for patients for renewals, and coverage changes.

DUTIES AND RESPONSIBILITIES
• Gather all pertinent and appropriate information from the chart to complete the necessary forms 
(private and/ or provincial insurance) in a concise, organized, and professional manner. 
• Liaise and advocate with insurance providers and provincial governments as necessary to determine 
coverage options. 
• Keep detailed notes in the patient’s electronic chart. 
• Follow-up/ advocate until a decision is received to secure coverage for the patient. 
• Completes and/ or reviews SA forms prior to submission to insurers. 
• Proactively offer financial assistance for patients. 
• Act as a resource for program stakeholders, which include physicians, nurses, patients and clinics 
and the client. 
• Assist with data integrity/ rounds as required. 
• Participate in ongoing internal and/ or external continuing education activities. 
• Adhere to Bayshore Policies and Procedures. 
• Participate in quality activities and continuous improvement initiatives in keeping with the 
company’s Quality Management System. 
• Employee will maintain relevant level of knowledge of ICH (International Conference of 
Harmonization), GCP (Good Clinical Practice) and Health Canada GVP (Good Pharmacovigilance 
Practices) guidelines appropriate to their hired role which is to be provided at the time of hire and 
annually. With this knowledge the employee will perform the work as required by their assigned 
function and will be provided with regular updates as required. 
• Must be able to identify and report AEs to Health Canada, Med Info and enter into source system 
and third-party systems. 
• Participate in processes relating to regulatory reporting requirements. 
• Participates in proactive Health & Safety activities while performing all duties. Is responsible to 
notify immediate supervisor of any Health & Safety risks or concerns. Responsible for completing 
Accident Reports for all direct reports who injure themselves on the job, within 24 hours of the incident. 
• Maintains confidentiality of client and corporate information and discusses same only with 
appropriate Bayshore personnel. 
• Complete other tasks as requested.