[Hiring] Reimbursement Specialist @Insulet Corporation

Role Description

This is a 12-month temporary contract. This is an opportunity to make a meaningful impact on people living with diabetes by serving as a critical link between patients, healthcare providers, insurance companies, and Insulet’s commercial teams. As a Reimbursement Specialist, you'll guide customers through the insurance and reimbursement process, helping remove barriers to access for the Omnipod® system while delivering an exceptional patient experience. The role combines healthcare knowledge, customer advocacy, problem-solving, and cross-functional collaboration, allowing you to work closely with Sales, Case Management, Billing, and payers across Canada.

If you're energized by helping patients navigate complex healthcare systems, thrive in a fast-paced environment, and enjoy seeing the direct impact of your work, this is a highly rewarding career opportunity.

Join Insulet on a 12-month temporary contract and play a vital role in helping people with diabetes gain access to life-changing technology. As a Reimbursement Specialist, you will serve as a trusted resource for patients, healthcare providers, insurance payers, and internal teams, guiding customers through the reimbursement and prior authorization process from start to finish. This highly collaborative role combines customer advocacy, problem-solving, and healthcare expertise, offering the opportunity to make a direct impact on the patient experience while working in a fast-paced, mission-driven environment.

The ideal candidate must demonstrate the ability to work effectively in a key cross-functional role with internal and external stakeholders. Additionally, this position requires a high degree of customer interaction and communication to ensure the patient experience is positive and professional.

Responsibilities

• Understand Insulet insurance contracts, channeling and processing requirements for all covered products.
• Process all aspects of reimbursement by contacting payors, verifying insurance benefits and adhering to medical guidelines for reimbursement.
• Submission of all prior authorization requests for approval and payment of Insulet products at time of claim processing.
• Calculate and document cost share amounts for potential customers, both for our English-speaking customers as well as our French-speaking customers.
• Collaborate with other commercial teams such as Case Management, OmniPod Sales and Billing, to ensure proactive communication of potential customer’s order status.
• Document all interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required.
• Provide frequent feedback and suggestions to support an environment of continuous process improvement.
• Perform other duties as required.

Qualifications

• Associates Degree (Minimum Requirements).
• Bilingual skills, being proficient in both English and French is strongly preferred.
• Bachelor’s Degree preferred.
• 2-4 years’ medical device, pharmaceutical, healthcare or consumer product related field preferred.
• Knowledge and understanding of the managed care industry is preferred.
• Knowledge of and experience supporting patients with diabetes is preferred.
• Experience in reimbursement of working with private or public payers in Canada.
• Experience with Salesforce or other CRM system is preferred.
• The ability to work overtime to meet business objectives is required.

Competencies

• Communication Skills: Delivers oral and written communications that make an impact and persuade their intended audiences.
• Results Orientation: Focuses on the solution and drives for positive resolution and results consistently.
• Collaboration and Teamwork: Collaborates and works effectively with other team members to produce optimal results.
• Accountability: Demonstrates ownership and resolve for producing high-quality work product and exceptional service.
• Effective Self-Management and Action Orientation: Thrives in a fast-paced environment and operates with a sense of urgency.
• Computer Proficiency: Capable of efficiently managing daily activities and deliverables utilizing MS Office applications and CRM systems.

Physical Requirements

• Requires sitting and standing associated with a normal office environment.
• Manual dexterity needed for using a computer keyboard.
• Lightweight lifting may be required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Benefits

• This position is eligible for 100% remote working arrangements (may work from home/virtually 100%; may also work hybrid on-site/virtual as desired).
• Pay Range: The expected salary for this position is $60,425.00 - $77,675.00 CAD annually.
• Vacancy Status: This role is a newly created position.