Summary
Overview
Work History
Education
Skills
Languages
Timeline
BusinessDevelopmentManager

Debora Doutre

St Hubert

Summary

Strong background in customer service; case management reimbursement, with patient support programs and experience in handling disability claims and patient support programs.

Overview

13
13
years of professional experience

Work History

Bilingual Case Manager

Organizational Solution Inc.
05.2022 - 11.2022
  • Key Responsibilities in Disability Claim Adjudication
  • Eligibility & Disability Assessment
  • Review claimant eligibility.
  • Assess total disability using medical evaluations and interviews.
  • Case Management
  • Maintain active oversight of claim files.
  • Communicate regularly with stakeholders (e.g., employers, claimants, healthcare providers).
  • Use tools like rehab, physiotherapy, and Independent Medical Exams (IMEs).
  • Monitor and update case management plans and key dates.
  • Decision-Making & Communication
  • Make timely decisions on claims.
  • Communicate decisions clearly, even in challenging situations.
  • Support recovery and return-to-work efforts.
  • System Use & Accountability
  • Utilize electronic case management systems consistently.
  • Ensure tasks meet service level expectations within assigned caseloads.

Sr. Reimbursement Specialist (Short term contract) – Company Contract Lost

Alio Health Services, ON
08.2020 - 12.2020
  • Key Responsibilities:
  • Case Management
  • Managed patient enrolments with private/provincial insurance
  • Advocated with insurers/governments for coverage
  • Maintained CRM data accuracy, offered financial assistance, and guided disability claims

Bilingual Reimbursement Specialist - Biogen ONE Program

Bayshore Specialty Rx - Mississauga, Ontario
08.2019 - 08.2020
  • Key Responsibilities:
  • Oversaw patient caseloads, secured coverage, completed insurer forms, offered financial aid
  • Acted as resource for healthcare providers, adhered to quality guidelines, maintained regulatory knowledge
  • Achievement: Secured formulary listing for Ibrance with Medavie Blue Cross (2017)

Senior Bilingual Case Manager – Repatha Ready Program

ADJUVANTZ - GMD - Adjuvantz Inc.–Oakville, ON
01.2015 - 01.2017
  • Key Responsibilities:
  • Supported patients and physicians with drug coverage, enrolments, and ongoing therapy
  • Managed adverse event reporting, financial means testing, and treatment adherence follow-up

Bilingual Liaison Manager, Clinical Liaison/Communicator, and Educator

METHAPHARM INC., Brantford, ON
01.2012 - 01.2015
  • Interacted with all physicians, RN, Pharmacist, end-users in providing optimal product knowledge, marketing materials, web design, samples request and new product releases.
  • Front-line communicator to physicians, plastic surgeons, cosmetic surgeons, dermatologist, pharmacist, and patients providing product information/education Kelo-cote/Kelo-stretch.
  • Developing potential prospects resulted in sales and referrals.
  • Created master list of industry professionals for calls and education sessions.
  • Prepare enrollment/attendance materials for Trade Shows across Canada.
  • Maintained database of contacts/sales into Sales LOGIX order processing, warehouse packaging, shipping tracing, drug orders ensuring information processed to related parties.
  • Process orders promptly (verbal, fax, email, EDI).
  • Record all complaints reported to the QA Department with regulatory guidelines.
  • Consult with regulatory authorities for all new materials, brochures to meet HC requirements.
  • Responsible for all daily/weekly/monthly reports/production coordinates with the warehouse.
  • Negotiated product displaying with physician/pharmacy.

Senior Bilingual Case Manager Reimbursement - Onco-Care & Isentress Program

AMERISOURCEBERGEN CANADA/INNOMAR STRATEGIES, Burlington, ON
01.2010 - 01.2012
  • Managed all aspects of the Onco-Care Program and Isentress Program to meet all goals providing best effective drug therapy, maximizing institutional and company revenue.
  • Acted in an interdisciplinary partnership with the health system; hospital staff; pharmacist; HCP; physicians’; Social Workers and patients to improve drug coverage/financial help or compassionate medication for the course of therapy of cancer and HIV patients.
  • Back-up support to several programs; Peg-Care (Hep C); Victoza (Diabetics II); Alex Program
  • Prepared appeal to manufacturers for compassionate consideration; negotiate drug coverage with both Private and Public Plan providers and federal mechanisms.
  • Generates drug orders ensuring required information faxed to the pharmacy, and related parties.
  • Participates and attends on-going refresher training and specialized training courses for specific products or programs.
  • Report all Adverse Events to Drug Safety, review Product Monographs.

Education

Diploma - Private Insurance Investigation Day Program, Designation - Pharmaceutical

Laurier University, Continuous Health Sciences
ON
08.2025

Skills

  • Bilingual (English/French): Proficient in both languages
  • Reimbursement and Disability Claims: Broad understanding and experience in claims practices, pharmaceutical, and patient support programs
  • Canadian Drug Reimbursement Landscape: Knowledgeable in this area
  • Interpersonal Skills: Exemplary ability to handle difficult situations with empathy and sensitivity Ability to manage complex caseloads under tight deadlines
  • Communication Skills: Strong written and verbal communication, excellent telephone etiquette, and the ability to deliver difficult messages effectively
  • Analytical Skills: Focused attention to details
  • Excellent customer service experience

Languages

English
Professional Working
French
Professional Working

Timeline

Bilingual Case Manager

Organizational Solution Inc.
05.2022 - 11.2022

Sr. Reimbursement Specialist (Short term contract) – Company Contract Lost

Alio Health Services, ON
08.2020 - 12.2020

Bilingual Reimbursement Specialist - Biogen ONE Program

Bayshore Specialty Rx - Mississauga, Ontario
08.2019 - 08.2020

Senior Bilingual Case Manager – Repatha Ready Program

ADJUVANTZ - GMD - Adjuvantz Inc.–Oakville, ON
01.2015 - 01.2017

Bilingual Liaison Manager, Clinical Liaison/Communicator, and Educator

METHAPHARM INC., Brantford, ON
01.2012 - 01.2015

Senior Bilingual Case Manager Reimbursement - Onco-Care & Isentress Program

AMERISOURCEBERGEN CANADA/INNOMAR STRATEGIES, Burlington, ON
01.2010 - 01.2012

Diploma - Private Insurance Investigation Day Program, Designation - Pharmaceutical

Laurier University, Continuous Health Sciences

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