Specialty rx Jobs

Team Lead- Navigation
Rx Connect Specialty Pharmacy —Mississauga, ON
- $58,000–$63,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Dental care
- Paid time off
Quick apply
9d
Pharmacy Assistant
Rx Connect Pharmacy Solutions —Calgary, AB
- $20–$22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Dental care
- Paid time off
Quick apply
7d
Accounts Receivable Coordinator
Bayshore HealthCare —Markham, ON
- $39,675–$52,900 a year
- Contract
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
14d
Infusion Nurse - Prince George, BC
Bayshore Northern Staffing —Prince George, BC
- $43–$47 an hour
- Part-time
- Nursing
- BLS Certification
- Bachelor's
Quick apply
People, Health & Safety Specialist
Bayshore HealthCare —Markham, ON
- $54,000–$67,500 a year
- Full-time
- Hybrid work
- Microsoft Office
- Analysis skills
- Human resources
4d
Infusion Nurse - Red Deer, AB
Bayshore Northern Staffing —Red Deer, AB
- Part-time
- Nursing
- BLS Certification
- Bachelor's
Quick apply

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Team Lead- Navigation

Rx Connect Specialty Pharmacy -
Mississauga, ON

Quick apply

Job details

Permanent | Full-time
$58,000–$63,000 a year
9 days ago

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Microsoft Office
College diploma
Time management

Full job description

POSITION SUMMARY:

Reporting to the Manager, the Reimbursement Team Lead will be primarily responsible for overseeing a team of reimbursement associates dedicated to navigating the reimbursement landscape specific to biologic medications. Your role will include ensuring precise and prompt processing of claims, optimizing reimbursement, and facilitating patient access to specialty pharmacy services.

PRIMARY DUTIES AND RESPONSIBILITIES:

Communicate with patients, prescribers, healthcare professionals and other key players to support patients through their treatment journey.
Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles and prior authorizations.
Maintain confidentiality of patient healthcare information.
Liase with private and public insurance providers to determine coverage options
Act as a central liaison for stakeholders such as physicians, nurses, patients, and clinics and provide required updates.
Supervise and mentor a team of reimbursement associates focused on biologic medications.
Keep up to date with changes in insurance coverage and reimbursement policies and communicate these changes to healthcare providers and patients.
Provide patient education based on protocols, individually or in groups.
Provide guidance, training, and support to ensure adherence to departmental goals and performance metrics.
Conduct weekly audits for team’s files.
The Reimbursement Associate will also be assigned other duties and tasks as required from time to time.

QUALIFICATIONS AND SKILLS:

A college diploma or higher in a healthcare related course is an asset
Two or more years of reimbursement navigation experience involving private and public payers is required.
Two or more years of related pharmacy experience is an asset
Experience working with Patient Support Programs is an asset
Experience with Kroll Pharmacy Management System is an asset
Familiarity with the Special Authorization process for both public and private insurance in assigned territory
Proficiency in Microsoft Office Applications (Outlook, Word, Excel)
A demonstrated commitment to high professional ethical standards and a diverse workplace
Proven ability to work in a team environment and independently
Ease with working in a paperless environment
Time management skills and the ability to multi-task and adhere to deadlines.

Number of positions: 1

Vacancy Type: Replacement

At Rx Connect, we may leverage AI-powered tools in our recruitment process. AI will never reach out to our candidates directly.

Rx Connect operates in accordance with the Accessibility for Ontarians with Disabilities Act and applicable Provincial Human Rights Codes.

If you require accommodation in the interview process, please let us know.

Thank you for your interest in a career with Rx Connect. We appreciate all applications; however, only candidates whose experience and qualifications closely match the job requirements will be contacted.

Job Types: Full-time, Permanent

Pay: $58,000.00-$63,000.00 per year

Benefits:

Casual dress
Company events
Dental care
Extended health care
Life insurance
On-site parking
Paid time off
Vision care
Work from home

Application question(s):

Walk us through your process for obtaining reimbursement approval for a complex biologic medication requiring prior authorization.
How do you balance payer requirements, patient needs, and physician expectations when managing reimbursement cases?
How do you ensure your reimbursement team consistently meets approval, turnaround time, and patient access targets?
Tell us about a process improvement you implemented that increased reimbursement success rates or reduced approval timelines.

Work Location: In person

Quick apply

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Team Lead- Navigation

Pharmacy Assistant

Accounts Receivable Coordinator

Infusion Nurse - Prince George, BC

People, Health & Safety Specialist

Infusion Nurse - Red Deer, AB

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