Gestionnaire principal, Produits et processus de remboursement/ Senior Manager, Reimbursement Products and Processes

Job title:

Gestionnaire principal, Produits et processus de remboursement/ Senior Supervisor, Reimbursement Merchandise and Processes

Firm

Cencora

Job description

Our workforce members are on the coronary heart of every thing we do. At Cencora, we’re united in our accountability to create more healthy futures, and each particular person right here is crucial to us with the ability to ship on that goal. If you wish to make a distinction on the heart of well being, come be a part of our progressive firm and assist us enhance the lives of individuals and animals all over the place. Apply at this time!

What you can be doing

PRINCIPALES FONCTIONS ET RESPONSABILITÉS :

1. Élaborer, mettre en œuvre et appuyer tous les produits et processus de remboursement chez Innomar, en gardant à l’esprit les objectifs de

simplifications, rationalisation, automatisation et ajout de valeur.

2. Soutenir le directeur, Remboursement, en matière de communication et de positionnement des produits de remboursement et offrir

son experience à l’équipe de Développement de nouvelles affaires.

3. Élaborer des parcours approfondis d’autorisation préalable propres aux payeurs et indépendants des programmes, et repérer

les possibilités de rationalisation et d’automatisation.

4. Gérer le développement et la mise en œuvre de produits comme la trousse de défense des droits et d’appel et le programme de conversion.

5. Gérer les pratiques exemplaires et les processus d’examen des choices d’aide financière pour les Programmes.

6. Trouver et promouvoir de nouvelles options et initiatives stratégiques novatrices en matière de remboursement.

7. Offrir un management éclairé en matière de stratégie sur les payeurs et de pratiques exemplaires par des

recherches continues sur le marché afin d’informer et d’optimiser les programmes et les options.

8. Planifier ou contribuer à planifier les rencontres régulières avec les spécialistes et les gestionnaires du remboursement des Programmes afin

d’assurer l’échange continu de pratiques exemplaires.

9. S’assurer que tous les projets de remboursement font l’objet d’une surveillance à des fins d’amélioration et de mesure du rendement.

10. Établir des liens de collaboration avec les Programmes, les Pharmacies et Apprentissage et Rendement.

11. Programmer les examens de données, les validations des mécanismes de couverture et des statuts de remboursement, trouver ou fournir

des options aux problèmes potentiels de couverture, faire des recommandations aux Programmes pour la mise en œuvre de processus.

12. Établir des processus robustes de détection, de suivi, de déclaration et de règlement des problèmes de

remboursement émergents.

13. Contribuer à créer des indicateurs de rendement clés (ICR) et de mesures pour suivre les activités de relation avec les payeurs, analyser

les données de rendement et produire des rapports utiles à l’intention de la haute gestion.

PRIMARY DUTIES AND RESPONSIBILITIES:

1. Develop, implement and assist all reimbursement merchandise and processes throughout Innomar, conserving the targets of Simplification, Streamlining, Automation and including worth prime of thoughts.

2. Help Director, Reimbursement in speaking and positioning reimbursement merchandise and supply experience to the New Enterprise Improvement workforce.

3. Develop in-depth, program agnostic payer particular prior authorization journeys, figuring out areas of alternative for streamlining and automation.

4. Drive growth and implementation of Merchandise resembling Advocacy and appeals toolkit, conversion program.

5. Handle and advise on monetary help navigation finest practices and processes for Applications.

6. Determine and promote new progressive options and strategic initiatives for reimbursement.

7. Drive thought management on the Payor Methods and finest practices by means of ongoing aggressive market analysis to tell and optimize packages and options.

8. Implement and/or help with common conferences with Applications’ Reimbursement Specialists and Managers to make sure the constant sharing of “Finest Practices”.

9. Make sure that all reimbursement initiatives are monitored for efficiency enchancment and achievement.

10. Lead and develop a collaborative relationship with Applications, pharmacy and Studying and Improvement.

11. Program knowledge assessment, mechanism of protection and reimbursement standing validation, identification of and/or present options to potential protection points, suggestions for Program course of implementation.

12. Develop sturdy identification, monitoring, reporting and solutioning processes for rising reimbursement points challenges and/or points.

13. Assist to ascertain key efficiency indicators (KPIs) and metrics to trace payer relations actions, analyze efficiency knowledge, and generate insightful stories for senior administration.

What your background ought to seem like

EXPÉRIENCE ET NIVEAU D’ÉDUCATION REQUIS :

· Baccalauréat

· 5 années et plus d’expérience dans l’environnement d’un PSP ou d’un payeur

· ‌Connaissance approfondie de l’industrie pharmaceutique

· Experience avancée de l’environnement des payeurs publics et privés au Canada

Sens aigu des affaires et des funds

· Excellentes aptitudes de pensée analytique et critique

‌· Capacité de communiquer efficacement à la fois oralement et par écrit;

‌· Compétences interpersonnelles et de management efficaces, aptitudes de collaboration manifestes

‌· Sens de l’organisation; souci du détail

‌· Capacité à respecter les échéances de façon systématique

‌· Excellentes aptitudes de résolution de problèmes; capacité à résoudre les problèmes de façon efficace et efficiente

‌· Excellentes aptitudes de présentation

‌· Connaissance de Microsoft Phrase, Excel, PowerPoint, Groups et d’autres programmes Workplace

‌· Excellente connaissance des plateformes de GRC.

COMPÉTENCES, CONNAISSANCES ET APTITUDES REQUISES :

‌· Capacité de communiquer efficacement à la fois oralement et par écrit;

‌· Compétences interpersonnelles et de management efficaces

‌· Sens de l’organisation; souci du détail

‌· Capacité à respecter les échéances de façon systématique

‌· Excellentes aptitudes de résolution de problèmes; capacité à résoudre les problèmes de façon efficace et efficiente;

Excellentes aptitudes de présentation

‌· Connaissance de Microsoft Phrase, Excel, PowerPoint, TEAMS et d’autres programmes Workplace

‌· Excellente connaissance des plateformes de GRC.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

· Bachelor’s diploma

· 5+ years in a PSP surroundings or Payer surroundings

· Superior data of pharmaceutical business

· Deep experience in Canadian private and non-private payer surroundings

· Robust enterprise and monetary acumen

· Robust analytical and demanding considering expertise

· Potential to speak successfully each orally and in writing

· Efficient interpersonal and management expertise, confirmed collaborator

· Efficient organizational expertise; consideration to element

· Potential to persistently meet deadlines

· Glorious problem-solving expertise: capability to resolve points successfully and effectively

· Glorious presentation expertise

· Intensive data of Microsoft Phrase, Excel, PowerPoint, Groups and different Workplace Applications

· Robust working data of CRM platforms

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

· Potential to speak successfully each orally and in writing

· Efficient interpersonal and management expertise, confirmed collaborator

· Efficient organizational expertise; consideration to element

· Potential to persistently meet deadlines

· Glorious problem-solving expertise: capability to resolve points successfully and effectively

· Glorious presentation expertise

· Intensive data of Microsoft Phrase, Excel, PowerPoint, Groups and different Workplace Applications

· Robust working data of CRM platforms

#LI-AA1

What Cencora provides

We offer compensation, advantages, and assets that allow a extremely inclusive tradition and assist our workforce members’ capability to dwell with goal daily. Along with conventional choices like medical, dental, and imaginative and prescient care, we additionally present a complete suite of advantages that concentrate on the bodily, emotional, monetary, and social facets of wellness. This encompasses assist for working households, which can embody backup dependent care, adoption help, infertility protection, household constructing assist, behavioral well being options, paid parental go away, and paid caregiver go away.

To encourage your private progress, we additionally supply quite a lot of coaching packages, skilled growth assets, and alternatives to take part in mentorship packages, worker useful resource teams, volunteer actions, and way more.

For particulars, go to https://www.virtualfairhub.com/amerisourcebergen

.

Schedule

Full time

Affiliated Firms: Affiliated Firms: Innomar Methods

Equal Employment Alternative

Cencora is dedicated to offering equal employment alternative with out regard to race, shade, faith, intercourse, sexual orientation, gender id, genetic data, nationwide origin, age, incapacity, veteran standing or membership in some other class protected by federal, state or native regulation.

The corporate’s continued success will depend on the total and efficient utilization of certified people. Due to this fact, harassment is prohibited and all issues associated to recruiting, coaching, compensation, advantages, promotions and transfers adjust to equal alternative rules and are non-discriminatory.

AmerisourceBergen is dedicated to offering cheap lodging to people with disabilities throughout the employment course of that are according to authorized necessities. For those who want to request an lodging whereas searching for employment, please name 888.692.2272 or e-mail . We’ll make lodging determinations on a request-by-request foundation. Messages and emails relating to something apart from lodging requests won’t be returned

COVID-19 Vaccine Coverage

As of October 18, 2021, Cencora requires all Canadian workforce members to be absolutely vaccinated and present proof of accomplished vaccine standing at time of rent. For those who can’t obtain the COVID-19 vaccine as a consequence of a qualifying medical situation or sincerely held spiritual perception you can be required to observe AmerisourceBergen’s coverage and course of to use for an exemption/lodging.

Accessibility Coverage

AmerisourceBergen is dedicated to honest and accessible employment practices. When requested, AmerisourceBergen will accommodate individuals with disabilities throughout the recruitment, evaluation and hiring processes and through employment.

Anticipated wage

Location

Canada

Job date

Solar, 31 Dec 2023 07:47:03 GMT

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