The Reimbursement Specialist (RS) directly assists patients on identified pharmaceutical company brands to secure private or public insurance reimbursement. They provide direct telephone phone assistance to patients requiring reimbursement support on identified pharmaceutical company brands. They represent the patient with private or public insurers to optimize drug coverage and liaise with Health Management Nurse and Clinical Support Specialist of the program to ensure optimal patient support and communication.

Why Join Us?

At Calian, we believe our people are our greatest asset. We are committed to fostering a workplace that supports your well-being, growth, and long-term success:

• Supportive Team Environment: You will work in a collaborative environment alongside healthcare professionals, coordinators, and case managers who are passionate about improving patient outcomes.
• Professional Growth: We invest in our people. You will have opportunities to expand your knowledge in healthcare systems, and pharmaceutical support services. You will also have access to formal leadership programs designed to help you grow professionally.
• Competitive Compensation & Benefits: Enjoy a competitive salary, comprehensive benefits plan, and access to wellness programs that support your personal and professional well-being.
• Mentorship & Collaboration: Participate in events like our speed mentoring sessions to connect with senior leaders and peers across the organization.

Join a team that values collaboration, resilience, excellence, and sustainability—and where your contributions truly make a difference.

Responsibilities

• Liaise with Clinical Coordinator’s to ensure optimal patient support and communication.
• Track and document all case information using the program IT system.
• Ensure quality assurance with respect to all mandates related to the patient support program.
• Through patient-oriented solutions, manage challenging patient situations with empathy and patience.
• Provide direct telephone assistance to patients requiring reimbursement support on identified company brands.
• Assist with the completion of paperwork and follow up on the submissions pertaining to drug reimbursement/coverage through private or public insurers to optimize drug coverage.
• Fulfill other duties as required.
• Understanding of private and public payer systems.
• Ability to work in cross-functional team.
• Proficiency in computer applications, including Microsoft Word and Excel.
• Build and maintain strong relationships with a variety of customers (patients, HCPs, caregivers).
• Ability to respond diplomatically and professionally to internal/external clients.
• Skilled in responding diplomatically and professionally to both internal and external clients.
• Skilled in handling escalated concerns from patients and healthcare providers, with professionalism and empathy.
• Ability to manage deadlines.
• Strong communication skills, both oral and written.

Qualifications

• English and French bilingualism (oral and written).
• College or University degree.
• Minimum 2 years of experience in drug reimbursement assistance navigation.
• Minimum 1 year of experience in a call center or Patient Support Program.

Additional Requirements

• Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer (finite movements such as typing and other office functions)
• Requires mental stamina to maintain attention to detail despite interruptions, and vision to read printed materials and a computer screen

Compensation:

• $60,000 – $63,000 per year

Schedule:

Monday to Friday rotating betwen 9am-5pm EST week 1 and then 12-8pm EST week 2.

Vacancy:

We have one position for this role

#LI-CR1#