Field Health Case Manager coordinating pharmaceutical patient support programs for patients and clinics across Quebec. Supporting enrollment, reimbursement access, clinic training, and treatment access.
Responsibilities
Manage various aspects of Patient Support Program service coordination for patients prescribed medication by physicians
Provide PSP service support to patients and clinics, including clinic training, patient enrollment, obtaining private and provincial drug-plan coverage, and ongoing support
Interact face-to-face with clinics, program personnel, and client personnel
Perform in-clinic and remote PSP service activities within the assigned territory
Use PSP applications and software to complete reports, enrollment forms, reimbursement forms, and other program functions
Schedule and manage weekly clinic visits
Support PSP dose reconciliation
Assess PSP services and suggest improvements to outcomes and service quality
Complete timesheets, expense reports, mileage reports, and validate CRM reports
Train physicians and clinic staff on PSP service offerings
Determine necessary PSP elements for enrolled patients within contractual limitations
Assist clinics with patient-status review and enrollment
Prepare or assist with Special Authorization submissions by reviewing patient charts and previous therapies and tests
Request PSP materials from the client as needed
Enroll patients and assist clinics with reimbursement documentation
Coordinate and track patient services to expedite access to therapy
Provide clear information about PSP services to patients and clinics
Enter sensitive patient information accurately and completely
Report adverse and serious adverse events according to approved SOPs
Follow Sentrex’s code of conduct, regulations, and legislation
Provide ongoing field feedback to the Field Supervisor and Program Manager
Collaborate with the Key Account Specialist, client, program personnel, and stakeholders to address clinic needs and deliver PSP service solutions
Perform additional duties as determined by the manager
Requirements
Completion of post-secondary education is required
Bilingualism in English and French is required
3–5 years of experience in reimbursement and/or Patient Support Programs
Experience with reimbursement billing, special access, appeals processes, and field-based reimbursement support and consultation is an asset
Knowledge of private and public reimbursement structures, systems, and processes is an asset
Experience in the pharmaceutical distribution industry is an asset
Professional demeanor and effective communication with internal and external customers and stakeholders
Excellent interpersonal, verbal, and written communication skills
Ability to build and maintain relationships with clinic personnel, colleagues, and client personnel
Must be able to work from home and have a quiet, dedicated office space
Strong analytical skills, including the ability to interpret regulations and legislation
Excellent customer service, problem-solving, and conflict-resolution skills
Strong typing skills and the ability to use various computer-based programs effectively
Must be willing to travel and have a valid driver’s license
Must be able to lift and carry products weighing up to 25 lbs.
Benefits
Competitive salary and generous vacation allowance
Wellness Program, including five paid wellness days
Paid sick leave
Insurance benefits including dental insurance, extended health coverage, accidental death and dismemberment insurance, long-term disability insurance, and life insurance for employees and their dependents
Group RRSP matching program
Employee Assistance Program
Flexible work environment that promotes a healthy work-life balance
Employee Development Program and industry-leading, in-house corporate training offered throughout the year
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