Job Description

Referred applicants must not apply directly to this role. All referred applicants must use their unique referral link generated when they are referred by an existing colleague.

At Shoppers Drug Mart, we\xe2\x80\x99re innovating health and wellness in Canada. From prescriptions to walk-in clinics, and a beloved loyalty program, we\xe2\x80\x99re caring and supporting our customers in new ways every day.
With more than 1,300 locally owned and operated stores from coast to coast, the Shoppers Drug Mart network is more than a great place to shop, it\xe2\x80\x99s a great place to work. We\xe2\x80\x99re committed to building our talented team who champion collaboration, kindness and inclusivity. Join our team, and help recognize a healthy future for your career and for all Canadians.

Why this role is important?

Scope

The Senior Manager, Reimbursement will be a subject matter expert in insurance and drug coverage related intelligence, as well as be a key point of contact for case escalations. The Senior Manager will also be required to develop strategies to support customers relating to reimbursement issues.

The nature of this role requires using excellent communication, multitasking, and prioritization skills. The incumbent is expected to act in a diplomatic and professional manner while working with short lead times and changing customer demands.

As this position deals with highly sensitive information, the incumbent is expected to maintain patient confidentiality per Specialty Health Network policy and legal requirements.

Responsibilities

Activities include, but are not limited to:

• Manage patient turnaround times to ensure that patients are starting drug therapies as quickly as possible;
• Manage complex reimbursement cases, and provide guidance for appeals and other such escalations of Patient Care Specialists and Appeals Specialists to insure patients receive medication as quickly as possible;
• Manage the reimbursement process for all areas and levels of reimbursement, ensuring that high service and quality standards are met in addition to managing costs and productivity measures for the department;
• Liaise with manufacturers partners where applicable;
• Providing information on relevant reimbursement topics related to our client\xe2\x80\x99s products;
• Interacting and managing key stakeholders within physician\xe2\x80\x99s office, hospital outpatient location, clinics and nurses;
• Facilitating ongoing training and education;
• Validating prior authorization requirements;
• Reviewing appropriate billing and coding for drugs;
• Assisting with resolving reimbursement issues;
• Act as a mentor/coach/resource to the Patient Care Specialists;
• Work with Quality Assurance team to monitor, coach and provide training to staff.

Qualifications and Skills

• Minimum 5 years previous Reimbursement/Drug Coverage/Insurance experience or equivalent demonstrated experience (e.g., Specialty Pharmaceuticals)
• 3+ years experience leading teams
• University degree or College diploma in a related field preferred
• Solid understanding of financial assistance programs;
• Familiarity with CRM systems such as Salesforce
• Ability to manage complex projects independently
• A team player with demonstrated ability to provide superior customer care
• Excellent communication skills, verbal and written
• Strong computer skills in a Windows environment using MS Office
• Bilingualism (French & English) an asset

Why work at Shoppers Drug Mart?
Acting as consultants, supporting internal customers and the Associate-Owners, you will get experience unique to the retail industry while working for an award-winning national brand. Benefit from a competitive pay program and online learning through Academy.
Take ownership of your work and find more ways to care about your work, co-workers, customers and community.

How You\xe2\x80\x99ll Succeed:

At Shoppers Drug Mart Inc., we seek great people to continually strengthen our culture. We believe great people model our values, are authentic, build trust and make connections.

If that sounds like you, and you are open-minded, responsive to change and up to the challenges provided in a fast-paced retail environment, apply today.

Employment Type: Full time

Type of Role: Temporary (Fixed Term)

Shoppers Drug Mart Inc. recognizes Canada\'s diversity as a source of national pride and strength. We have made it a priority to reflect our nation\xe2\x80\x99s evolving diversity in the products we sell, the people we hire, and the culture we create in our organization. Accommodation is available upon request for applicants with disabilities in the recruitment and assessment process and when hired.

In addition, we believe that compliance with laws is about doing the right thing. Upholding the law is part of our Code of Conduct \xe2\x80\x93 it reinforces what our customers and stakeholders expect of us.

Please Note: If you have Employee Self Service (ESS) on Workday, apply to this job via the Workday application.

Shoppers Drug Mart