Bilingual

• Communicate daily and on an ongoing basis with the Program Manager / Associate Program Manager regarding new and existing projects
• Demonstrate in-depth knowledge of rare disease program offerings, including disease/product pathophysiology, therapeutic areas, disease processes, and mechanisms of action
• Apply rare disease SOPs
• Demonstrate in-depth knowledge of public, private, and federal funding mechanisms, as well as rare disease funding bodies in the United States and Canada
• Coordinate cases with physicians and healthcare professionals to prepare submissions that meet payer specifications and criteria
• Coordinate and manage all aspects required to obtain prescription drug coverage for patients
• Coordinate cases with insurance companies, physician offices, and healthcare professionals to maximize reimbursement solutions
• Navigate the complex advocacy process to obtain prescription drug coverage and reimbursement for life-saving and costly medications
• Coordinate documents, submissions, and related paperwork for insurance companies and public/federal funding programs
• Implement financial means tests to maximize patients’ prescription drug coverage
• Coordinate pharmacy processes once funding has been obtained
• Report all adverse events to the appropriate assigned units/departments
• Perform other duties and tasks as required

Explore Bilingual Reimbursement Specialist at Cencora. Review requirements and application details.

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