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Reimbursement Case Manager Jobs in Quebec (NOW HIRING)

Cencora

Field Case Manager

Montreal, QC

Knowledge in clinical operations, care coordination, and case management processes. Knowledge in ... Knowledge in reimbursement navigation, coverage processes, and funding support activities.

HORIZON HEALTH AND WELLNESS INC

Tuition reimbursement * The opportunity to help us make a difference in the lives of the patients ... One year case management experience strongly preferred. * Ability to create plans and summaries ...

BRISTOL HOSPICE LLC

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Tuition Reimbursement - We invest in your continued growth * Paid Time Off & Holidays - Because ...

BRISTOL HOSPICE LLC

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Tuition Reimbursement - We invest in your continued growth * Paid Time Off & Holidays - Because ...

MERCY HOUSE

$23 - $24/hr

Mileage reimbursement * Referral bonus program * Opportunities for career growth Job Summary : The Housing Solutions Case Manager is required to participate in all stages of client service delivery ...

MCKESSON

As a Bilingual Nurse Case Manager , you'll serve as the single point of contact for prescribers ... Complete concise, accurate documentation; conduct chart reviews as needed for reimbursement ...

St. Croix Hospice

Conduct case reviews, home visits, and clinical audits to ensure high-quality care * Manage hiring ... Tuition reimbursement and professional development opportunities * Paid time off and paid holidays

MCKESSON

Provide reimbursement status updates and program information to healthcare professionals * Support ... Proficiency with Microsoft Office (Word, Excel) and case management systems * Strong attention to ...

Posted today

Spectrum Health Systems

Tuition reimbursement/loan repayment options * 401k with company match up to 7%! * Discounts on ... Supervising the implementation and delivery of clinical and case management services and ...

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Reimbursement Case Manager information

What are the key skills and qualifications needed to thrive as a reimbursement case manager?

To thrive as a Reimbursement Case Manager, you need a solid understanding of healthcare reimbursement processes, insurance policies, and medical billing, often supported by a background in nursing, social work, or healthcare administration. Familiarity with claims management systems, electronic health records (EHRs), and payer portals is typically required, and certifications like CCM (Certified Case Manager) can be advantageous. Strong communication, problem-solving, and organizational skills help you effectively advocate for patients and collaborate with providers and payers. These competencies ensure accurate reimbursement, compliance, and optimal patient outcomes in a complex healthcare environment.

How does a reimbursement case manager typically collaborate with healthcare providers and insurance companies to resolve patient billing issues?

Reimbursement Case Managers act as key liaisons between healthcare providers, patients, and insurance companies to ensure that claims are processed accurately and efficiently. They regularly communicate with medical staff to collect necessary documentation, clarify coding, and verify treatment details. Additionally, they work closely with insurance representatives to address denials, appeal decisions, and troubleshoot payment delays. This collaborative approach requires strong communication skills and a deep understanding of both clinical and insurance processes.

What is the difference between Reimbursement Case Manager vs Claims Specialist?

AspectReimbursement Case ManagerClaims Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsInsurance companies, third-party administrators, or healthcare providers
Job FocusManaging reimbursement processes, verifying coverage, and resolving billing issuesProcessing claims, reviewing documentation, and ensuring accurate claim submission

Reimbursement Case Managers and Claims Specialists both work within the healthcare and insurance industries, focusing on financial aspects of patient care. While Reimbursement Case Managers primarily handle reimbursement processes and coverage verification, Claims Specialists concentrate on processing and reviewing insurance claims. Both roles require knowledge of insurance policies and healthcare billing, but their daily tasks and focus areas differ slightly.

What does a reimbursement case manager do?

A reimbursement case manager reviews and processes insurance claims and reimbursement requests, ensuring accuracy and compliance with policies. They communicate with clients, healthcare providers, and insurance companies, often using case management software, to resolve issues and facilitate timely payments.

What job categories do people searching Reimbursement Case Manager jobs in Quebec look for?

The top searched job categories for Reimbursement Case Manager jobs in Quebec are:

Reimbursement Case Manager jobs near you
Infographic showing various Reimbursement Case Manager job openings in Quebec as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 3% Hybrid, and 16% Remote job distribution.

Field Case Manager

Montreal, QC

Cencora
See more jobs at Cencoraexternal

Full-time

Medical, Dental, Vision

Re-posted 6 days ago

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details
This job profile description is a standardized, non-contractual reference description and global reference tool provided for organizational consistency and talent architecture purposes across Cencora. It does not alter actual job duties, responsibilities, reporting lines, working conditions, grading, compensation, or other essential terms and conditions of employment.Actual duties and responsibilities may vary based on business needs, local requirements, and operational practices. Where a team member's role is governed by an employment agreement, local terms and conditions, prior job description or collective bargaining agreement, those documents shall prevail in case of any inconsistency. Mandatory local laws shall also prevail.Reviews patient files, treatment history, provider inputs, and supporting documentation to confirm readiness for case action and next-step processing.Executes established clinical and operational procedures to support patient enrollment, therapy coordination, case progression, and access to prescribed treatment.Audits case activity, follow-up actions, and documentation quality to identify discrepancies, delays, and process gaps affecting service delivery.Evaluates therapy access barriers, coverage issues, and coordination risks to determine timely escalation and resolution needs.Interprets program protocols, product guidance, and operational requirements to provide clear direction to patients, providers, and internal teams.Stabilizes the patient journey by coordinating with healthcare providers, pharmacies, clinics, and support teams to reduce disruption in therapy access or administration.Upholds adverse event reporting, documentation controls, and communication standards in line with clinical, quality, and regulatory expectations.

Mandatory requirement:

Bachelor's degree in NURSING.

Bilingual (Fluent in French and English)

Interested to work for 12 months contract role


6+ years of experience in Nursing, healthcare, pharmacy, managed care, health systems, operations, or a related field required.
Project Management Professional (PMP) or equivalent certification preferred. Certification in Lean Six Sigma preferred.
Knowledge in clinical operations, care coordination, and case management processes.
Knowledge in patient support program workflows and therapy access pathways.
Knowledge in clinical documentation, record maintenance, and audit requirements.
Knowledge in treatment protocols, therapy administration support, and patient education practices.
Knowledge in reimbursement navigation, coverage processes, and funding support activities.
Knowledge in adverse event reporting, quality controls, and compliance standards.
Ability to interpret clinical, operational, and reimbursement-related information accurately.
Ability to evaluate case status, service risks, and barriers to therapy access.
Ability to validate documentation and maintain accurate case records.
Ability to coordinate across patients, providers, pharmacies, clinics, and internal teams.
Ability to communicate complex care and program information clearly and professionally.
Ability to stabilize case progression through timely follow-up, escalation, and issue resolution.
Ability to audit case activities and identify gaps in process execution or documentation quality.
Ability to uphold confidentiality, quality expectations, and regulatory requirements in daily work.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Full timeEqual Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Accessibility Policy

Cencora is committed to fair and accessible employment practices.When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

Affiliated Companies:Affiliated Companies: Innomar Strategies

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