Reimbursement Specialist

About the Role

Our client is a reputable healthcare company committed to excellence and diversity in the pharmaceutical sector, dedicated to patient care. They invite a skilled Reimbursement Specialist to join their expanding organization in North York, Ontario. This position offers an hourly wage between $25 and $28 and includes a health spending account for personalized healthcare benefits.

Role Overview

The organization specializes in patient access and medication support services, serving patients, healthcare providers, and pharmaceutical collaborators. Operating within a strictly regulated healthcare environment, this role emphasizes precision, confidentiality, responsiveness, and strong stakeholder relationships.

The Reimbursement Specialist will lead day-to-day activities within the reimbursement team, ensuring workflow coordination, maintaining service excellence, addressing complex cases and escalations, and collaborating with healthcare offices and external partners. This hands-on leadership role focuses on operational involvement rather than purely administrative management.

Key Responsibilities

• Lead daily team workflow coordination with coaching and mentorship.
• Provide expert support on complex reimbursement files and high-volume periods.
• Develop and sustain strong partnerships with healthcare providers and external stakeholders to enhance service delivery.
• Analyze files and performance data to spot gaps and improve quality and efficiency.
• Create and update procedures and support new operational initiatives.
• Act as a subject matter expert on drug reimbursement policies and maintain compliance and confidentiality.

Experience and Qualifications

• At least 5 years of experience in drug reimbursement, patient access, specialty pharmacy, healthcare administration, insurance, or a related field is mandatory.
• Leadership experience involving team coaching or senior-level guidance is highly preferred.
• In-depth knowledge of public and private drug reimbursement systems.
• Proven ability to resolve complex reimbursement cases and handle escalations effectively.
• Track record of identifying and implementing workflow improvements.
• Experience collaborating with healthcare providers, clinics, pharmacies, insurers, or similar stakeholders.
• Experience in a regulated or confidential healthcare setting is advantageous.
• Post-secondary education in healthcare administration, business administration, pharmacy, or a related discipline.
• Excellent communication, interpersonal, leadership, and customer service skills.
• Proficiency in Microsoft Office tools.

Additional Details

• Job ID: 10624
• Permanent full-time position based on-site.
• Industry: Healthcare
• Category: Administrative Support
• Manages others: No
• Travel is not required.
• No relocation assistance provided.

Equal Opportunity

The company promotes inclusive hiring practices independent of race, color, religion, sexual orientation, country of origin, age, or disability.