Remote Bilingual Medical Insurance Specialist - QC, NB talent only

Language Requirement Notice: Our Client operates across Canada. This company takes all reasonable means to limit the number of positions in Quebec that require knowledge of a language other than French, and only requires this where it is necessary and its existing bilingual employees are unable to fulfil these job duties. Based on an assessment conducted by our client, it has been determined that this position requires candidates to be fluently bilingual in both French and English (oral and written) to support a national patient base.
Please note that for this specific role, candidates must currently reside in Quebec (QC) or New Brunswick (NB).

We are currently hiring dedicated Bilingual Caseworkers for full-time, permanent remote opportunities. In this role, you will navigate complex reimbursement processes, engage in conversations with a can-do attitude and deep empathy, and ensure that patients come first.

🚨 CRITICAL PREREQUISITES TO APPLY:
To be considered for this role, you MUST have a minimum of 2+ years of recent experience (within the last 7 years) in one of the following specific roles: Patient Caseworker, Pharma Reimbursement Specialist, Patient Coordinator, or Patient Care Specialist.

Please note that for this specific role, candidates must currently reside in Quebec (QC) or New Brunswick (NB).

Your resume must clearly demonstrate exact experience managing complex cases, including navigating public/private insurance funding, benefit investigations, special authorizations, and appeals. You must also be legally eligible to work full-time in Canada and possess a 5/5 bilingual proficiency in French and English.

Mandatory Pre-Screening Questionnaire

To apply, you must submit your resume AND email your responses to the following questionnaire directly to jessica.yelozbek@randstad.ca.

Please note: You must meet all the criteria outlined below to be considered. If you do not meet these requirements, please do not submit an application. Only shortlisted talent who match the criteria will be contacted after a review of their resume and questionnaire.

(RESUME needs to have accurate data for each employment start (month/year) - end (month/year) for EACH EMPLOYMENT.)

1- Exact Address: Please provide your full, detailed home address.
2- Language Proficiency: As you are located in Quebec or New Brunswick, can you confirm you have a 5/5 professional working proficiency in both English and French? (Note: Bilingualism is mandatory for this specific role).
3- Experience Check: Can you confirm you have 2+ years of recent experience (within the last 7 years) specifically in Patient Support, Reimbursement, or Casework, and that this is clearly detailed on your resume?
4- Software Skills: Do you have experience working with CRM systems (such as Salesforce) and Microsoft Office?
5- Background Checks: Are you comfortable undergoing and clearing criminal and credit background checks (a strict requirement during the onboarding/offer stage)?
6- Vacation: Can you confirm you have no pre-booked vacations in the next 3 months?
7- Commitment: Are you comfortable committing to a permanent role?
8- Previous Experience: What specific day-to-day tasks did you handle in your most recent patient caseworker/reimbursement role?
9- Eligibility: Are you legally eligible to work full-time in Canada?
10- Remote Setup: Can you confirm you have a dedicated, quiet workspace, a highly stable internet connection, and are willing to complete an internet speed test via a provided link?
11- Availability: Are you fully available for the provided schedule (Monday-Friday, 8 am - 8 pm EST parameters) with no commitment concerns during the duration of your employment?
12- Accommodations: Do you require any accommodations during the recruitment process?

Advantages
What's in it for YOU:

Permanent & Remote: 100% Work-From-Home permanent opportunity.

Competitive Salary: $52,000 – $55,000 annualized (hourly equivalent of $26.67 to $28.21/hr based on a 37.5-hour paid work week).

Day-1 Financial Security: Registered Savings Plan (RSP) with an immediate company match starting on Day 1, plus access to a company stock purchase program.

Day-1 Comprehensive Benefits: Immediate access to full medical, dental, and vision care packages.

Paid Time Off: 3 weeks of paid vacation, plus designated paid sick and wellness days.

Bonus & Salary Growth: Annual performance bonus potential paired with an annual merit review process for salary increases.

Wellness & Family Support: Extensive programs focusing on physical, emotional, financial, and social wellness (including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, and paid parental/caregiver leave).

Equipment Provided: Home office hardware and equipment are provided as per company policy.

Great Work-Life Balance: Monday-Friday schedules. Shifts fall between 8:00 am and 8:00 pm EST (Opportunities to work a standard 9:00 am - 5:00 pm EST shift, or an 8-hour shift ending at 8:00 pm EST for those seeking a later schedule).

Responsibilities
Clear Day-to-Day Expectations:

Casework & Reimbursement: Coordinate and manage all aspects required to obtain prescription drug coverage for patients. Navigate complex lobbying processes, investigate financial options, manage benefit investigations, and handle special authorizations and appeal requests.

Patient Engagement & Telephone Support: Implement call-centre programs providing telephone support to patients, healthcare professionals, and funding bodies regarding funding and access issues (private, public, and special access programs).

Coordination & Collaboration: Act as a critical liaison between patients, pharmacies, insurance companies, and physicians' offices to maximize reimbursement solutions and ensure timely medication access.

Clinical Monitoring & Compliance: Administer case-management protocols including data collection, ongoing patient follow-up, therapy disruption monitoring, and mandatory adverse event reporting.

Administrative Duties: Accurately document every activity and interaction in the program-specific CRM database and coordinate all related paperwork for insurance and federal funding submissions.

Qualifications
What YOU bring to the role:

MANDATORY: 2+ years of recent, dedicated experience (within the last 7 years) as a Patient Caseworker, Reimbursement Specialist, or Patient Coordinator handling complex insurance/funding processes.

Please note that for this specific role, candidates must currently reside in Quebec (QC) or New Brunswick (NB).

MANDATORY: 5/5 Bilingualism (English/French, oral and written) is strictly required for this targeted position.

MANDATORY: Legal eligibility to work full-time in Canada.

Technical Skills: Tech-savvy with the ability to learn new software quickly. Advanced knowledge of Microsoft Office (Word, Excel, Outlook) and CRM systems (e.g., Salesforce).

Industry Knowledge: Deep understanding of the pharmaceutical distribution industry, public/private funding mechanisms, and reimbursement processes.

Soft Skills: Top-notch organizational and prioritization skills. You possess strong problem-solving abilities, financial acumen, and the capacity to handle sensitive healthcare topics with empathy and professionalism.

(RESUME needs to have accurate data for each employment start (month/year) - end (month/year) for EACH EMPLOYMENT.)

Summary
If you meet the mandatory requirements and believe this Remote Bilingual Caseworker opportunity is the perfect fit for you, please ensure your resume clearly reflects your exact patient casework and reimbursement experience.
Send your resume and completed questionnaire directly to jessica.yelozbek@randstad.ca.

Please note that for this specific role, candidates must currently reside in Quebec (QC) or New Brunswick (NB).

Only candidates who meet all criteria and complete the questionnaire will be contacted for next steps.

Randstad Canada is committed to fostering a workforce reflective of all peoples of Canada. As a result, we are committed to developing and implementing strategies to increase the equity, diversity and inclusion within the workplace by examining our internal policies, practices, and systems throughout the entire lifecycle of our workforce, including its recruitment, retention and advancement for all employees. In addition to our deep commitment to respecting human rights, we are dedicated to positive actions to affect change to ensure everyone has full participation in the workforce free from any barriers, systemic or otherwise, especially equity-seeking groups who are usually underrepresented in Canada's workforce, including those who identify as women or non-binary/gender non-conforming; Indigenous or Aboriginal Peoples; persons with disabilities (visible or invisible) and; members of visible minorities, racialized groups and the LGBTQ2+ community.

Randstad Canada is committed to creating and maintaining an inclusive and accessible workplace for all its candidates and employees by supporting their accessibility and accommodation needs throughout the employment lifecycle. We ask that all job applications please identify any accommodation requirements by sending an email to accessibility@randstad.ca to ensure their ability to fully participate in the interview process.