What Most Job Postings Won't Tell You About Working Here
The firm is six people. Everyone knows every client. Nobody hides behind a job title. If that sounds like the wrong size for you, it probably is — and that's fine. If it sounds exactly right, keep reading.
What the Work Is Actually Like
What does it feel like to work at a firm with six people and one area of focus?
You'll Own Files, Not Tasks
Every analyst is assigned cases end-to-end. No handoffs, no ticket systems. Your name goes on the work because you did the work. When a client calls with an update, they're calling the person who actually built their RAMQ submission package — not a coordinator reading from someone else's notes. This model means you're accountable for outcomes, not just outputs. When the firm's case studies describe a $47,000 recovery or an 88% reduction in denial rates, those results trace back to a single analyst who owned the file from intake to resolution.
You'll Speak to Clients Directly
No account managers between you and the person whose problem you're solving. Clients have your phone number. This isn't for everyone — the firm knows that. But for the right person, direct client contact transforms the work from administrative processing into something closer to professional advisory. You'll hear the frustration in a clinic manager's voice when they describe $140,000 in denied claims. You'll walk them through the demande de révision process step by step. And when the recovery comes through, you'll be the one to deliver the news. That loop — problem, strategy, resolution, outcome — is what keeps people at this firm longer than the industry average.
You'll Learn an Entire Regulatory System
RAMQ eligibility, billing, compliance, dispute resolution, interprovincial ententes — the firm's cross-training approach means everyone develops breadth that doesn't exist in larger organizations. After a year here, you'll understand the full lifecycle of Quebec's health insurance system from the inside out. You'll know the difference between a Code 41 and a Code 09 rejection, why certain établissement codes trigger automatic audits, and how the Direction du contrôle du paiement decides which files to flag. This institutional knowledge compounds — and it's the reason former Bien-être Ramq team members are recruited aggressively by provincial health ministries, hospital billing departments, and benefits consulting firms.
Open Positions
Where Does Your Experience Fit?
RAMQ Claims Analyst
The firm needs another Jean-François. Specifically: someone who can audit denied RAMQ claims, identify motifs de refus, and prepare correction packages and demandes de révision. The ideal candidate has 3+ years of direct experience with RAMQ claim processing — on either side of the counter. You'll work with denied claim files daily, cross-referencing the Manuel des médecins spécialistes, tracking filing deadlines, and liaising with RAMQ's regional offices and the Direction du contrôle du paiement.
A typical week might include auditing 80–120 individual claim lines for a dermatology clinic that's been denied $67,000 over six months, identifying that 40% of the rejections stem from a single incorrect établissement code, drafting the correction package with supporting documentation, and submitting the demande de révision within RAMQ's 90-day window. You'll also attend the firm's weekly case review where all analysts present active files, share patterns they've spotted, and flag emerging changes to RAMQ's fee schedules or administrative codes. The work the firm does across all four service lines feeds directly into what you'll see on your desk.
Requirements
- Fluently bilingual (French/English) — you'll read RAMQ circulaires in French and present findings to Ontario-based clients in English
- Familiarity with RAMQ administrative codes and fee schedule manuals (Manuel des médecins omnipraticiens, Manuel des médecins spécialistes, or Manuel des optométristes)
- Experience with health insurance claim processing, auditing, or billing — at a clinic, provincial ministry, or insurance carrier
- Detail-oriented enough to catch an incorrect établissement code on line 47 of a 200-claim audit
- Comfort working independently on complex files while maintaining rigorous internal documentation standards
RGAM Compliance Consultant
As the firm's employer compliance practice grows — driven largely by Ontario companies discovering their RGAM obligations the hard way — a second compliance specialist is needed. This role works directly with Sonia El-Khoury on audit responses, gap analyses, and compliance system design. You'll be reading Revenu Québec audit letters, mapping group insurance plans against the Régime général d'assurance médicaments requirements, and presenting findings to CFOs who didn't know they had a problem until the penalty notice arrived.
The compliance caseload has doubled since 2023. Much of that growth comes from Ontario-headquartered companies with remote employees in Quebec — a workforce pattern that exploded during the pandemic and triggered a wave of RGAM compliance audits starting in late 2022. You'll be helping employers understand their obligations under the Health Insurance Act and the Act respecting prescription drug insurance, designing compliant group plan structures, and — when penalties have already landed — negotiating with Revenu Québec to reduce or eliminate assessments. The firm's compliance case studies show the scale of what's at stake: one mid-size employer faced $34,000 in penalties for a gap they didn't know existed. Review the firm's pricing structure to understand how compliance engagements are scoped and billed.
Requirements
- Fluently bilingual (French/English) — correspondence with Revenu Québec is exclusively in French
- Background in HR, benefits administration, group insurance, or regulatory compliance
- Familiarity with Quebec's Health Insurance Act and RGAM requirements, or demonstrable ability to learn complex regulatory frameworks quickly
- Comfortable presenting findings to CFOs, VP-HR, and in-house counsel — clearly, without hedging
- Experience reading and responding to government audit letters or regulatory compliance notices
Client Intake Coordinator
David Arsenault needs help. The firm's case volume has grown beyond what one intake coordinator can manage without cutting corners — and the firm doesn't cut corners. This role manages initial client contact, document collection, case timeline tracking, and follow-up with RAMQ regional offices. You'll be the first voice clients hear when they call (519) 994-3634, often at their most frustrated, and the person who keeps every file moving through the firm's internal workflow.
On a typical day, you might field six to ten inbound calls from prospective clients — a clinic manager in Toronto whose RAMQ provider registration has stalled, an HR director in Ottawa who just received a Revenu Québec compliance notice, a physician relocating from Montreal who needs to understand interprovincial billing. You'll assess each inquiry, determine which of the firm's service lines applies, gather the initial documentation (RAMQ correspondence, denial notices, fee schedule printouts, corporate benefit plan summaries), and prepare a preliminary case file for the assigned analyst. The firm's client satisfaction depends heavily on this role: how quickly documents are collected, how accurately the initial case profile is built, and how effectively you manage the client's expectations during the intake period.
You'll also be responsible for tracking deadlines across all active files — RAMQ's 90-day revision windows, Revenu Québec's 60-day audit response periods, and interprovincial entente filing timelines. Missing a deadline means missing a recovery. The firm uses structured project tracking (not enterprise software — a carefully maintained system David built) and you'll be expected to master it within your first month.
Requirements
- Bilingual (French/English); trilingual a strong asset — the firm serves Francophone, Anglophone, and increasingly allophone communities
- Strong organizational skills and comfort with document management — you'll track 40+ active files simultaneously
- Experience in a client-facing administrative role (legal, healthcare, insurance, or government preferred)
- Empathy for people navigating bureaucracy who are often frustrated, confused, or anxious by the time they call
- Ability to extract the relevant facts from an emotional phone call and translate them into a structured intake form
No Open Positions — Yet
Catherine Moreau runs the firm's regulatory monitoring practice solo — for now. She tracks RAMQ circulaires, fee schedule amendments, entente interprovinciale changes, and legislative developments across both provincial health ministries. Her work feeds directly into every analyst's caseload: when RAMQ modifies a billing code or adjusts the tarification for a procedure category, Catherine flags it before it hits a client's denial notice. If you have a background in Quebec health law, health policy research, or regulatory affairs and want the firm to know your name when that changes, send a note with your resume to contact@bientreramqsenc.com.
Ideal candidates for future research roles would have experience at a provincial health ministry, the Canadian Institute for Health Information (CIHI), a health policy think tank, or a university-affiliated health law centre. Familiarity with the Loi sur l'assurance maladie, the Loi sur l'assurance médicaments, and the interprovincial billing framework would distinguish your application immediately. Read more about the regulatory landscape the firm navigates on the services page and about page.
The firm keeps expressions of interest on file for 12 months and reaches out when a fit emerges.
What You'd Be Joining
Every person here has worked inside the systems they now help clients navigate — provincial health ministries, billing compliance departments, regional CLSCs, or the Barreau du Québec.
The firm was founded in 2021 and has grown deliberately, not explosively. Marc-Antoine Delisle built the team by hiring people he'd worked alongside in government, at the Ontario Medical Association, and in Quebec's health insurance ecosystem. The result is a group where everyone shares institutional knowledge — RAMQ administrative codes, regional office quirks, fee schedule histories — as a matter of daily conversation rather than formal training. When Jean-François notices a pattern in Code 41 rejections from RAMQ's Montérégie office, the entire team knows about it by lunch. That kind of ambient expertise doesn't scale to 50 people. At six, it's the firm's most valuable asset.
Bien-être Ramq occupies a proper suite at 3900 Grand Park Drive in Mississauga. The hybrid model is genuine: three days in-office means three days of direct collaboration — case reviews, client call debriefs, whiteboard sessions mapping a complex billing audit — not three days of sitting in a cubicle doing work you could have done at home. The other two days are yours to manage. The office is a 10-minute walk from Square One and accessible by MiWay and GO Transit.
Benefits include comprehensive health and dental coverage (the irony of an RAMQ firm without good benefits would be — well, embarrassing), four weeks of vacation from year one, and a professional development budget of $3,500 per person annually that the team actually uses. Jean-François attended a RAMQ administrative procedures symposium in Quebec City last fall. Sonia completed an advanced certification in cross-provincial benefits compliance. Catherine presented at a health policy conference in Ottawa. The firm invests in depth because depth is the product.
The client testimonials give you a sense of the outcomes you'd be contributing to — and the case studies show the level of analytical rigour the firm expects. If that standard excites you rather than intimidates you, you'll fit.
The Results You'd Help Deliver
Since the firm's founding in 2021, the team has built a track record that speaks in numbers — not promises.
How the Hiring Process Works
No mystery, no ghosting — here's what to expect after you apply.
Resume Review
Every application is read by Marc-Antoine or the hiring analyst for that role — not filtered by software. The firm looks for specific experience: RAMQ claim codes, provincial health ministry work, benefits compliance, or bilingual client service in a healthcare or insurance context. Expect to hear back within five business days, either way. The firm doesn't ghost applicants.
Working Conversation
If your background fits, you'll have a 45-minute conversation — not a behavioural interview with hypothetical scenarios, but a working discussion about a real (anonymized) case. For analyst roles, you might review a denied claim file and talk through how you'd approach the correction. For client services, you might listen to a simulated intake call and identify the key facts. The firm hires for how you think, not how you answer scripted questions.
Paid Trial Day
Finalists spend a paid half-day at the office at 3900 Grand Park Drive. You'll sit with the team, work on a supervised file, and get an honest feel for the pace, the culture, and the work. The firm also uses this to confirm the fit goes both ways — a six-person team can't absorb a bad hire the way a 600-person company can. Both sides need to be certain.
Think You'd Be Good at This?
The Firm Reads Every Application
Send a resume and a short note about why RAMQ interests you. Cover letter optional — the firm reads resumes first and cover letters second. If you've worked inside a provincial health insurance system, a billing compliance department, or a CLSC, say so in the first line. That's the experience that matters most here. If you're not sure whether your background qualifies, send the application anyway — the firm has hired people from unexpected places, including a former Revenu Québec auditor and a hospital billing coordinator who'd never heard of Bien-être Ramq until a colleague forwarded a job posting.
Not ready to apply but want to learn more about the firm? Start with the founding story, review the full service breakdown, or reach out with questions.
Email: contact@bientreramqsenc.com · Phone: (519) 994-3634