Field Health Case Manager managing patient program coordination and clinic training for pharmaceutical products. Responsible for ensuring patients have access to prescribed treatments in a timely manner.
Responsibilities
Under the supervision of the Field Supervisor, the Field Case Manager is responsible for managing various aspects of program service coordination for patients who have been prescribed medication by physicians.
The Field Case Manager will provide program support services to patients and clinics which may include, but are not limited to, training clinics on program services and securing insurer coverage for medications under private and provincial plans.
In addition, the Field Case Manager will ensure patients have timely access to their prescribed medications and will provide ongoing support to patients and clinics by leveraging excellent communication skills and available resources.
Deliver patient support program services (in-clinic and virtual) within the assigned territory.
Use PSP-related applications and software to complete reports, enrollment forms, reimbursement forms, and perform other program functions.
Assist the PSP with medication dose reconciliation (comparing the patient's current medications to their medical history).
Proactively evaluate PSP services and recommend changes to improve outcomes and service quality.
Complete relevant reports, such as timesheets, expense reports, mileage claims, and validate CRM system reports in accordance with established program procedures.
Requirements
A post-secondary degree is required.
Bilingualism (English and French) is required.
3–5 years of experience in reimbursement and/or patient support programs.
Experience with reimbursement billing, special/access programs, appeals processes, and field reimbursement assistance and consulting is an asset.
Knowledge of the structure of public and private reimbursement systems and related processes and systems is an asset.
Experience in the pharmaceutical distribution industry is an asset.
Professional conduct and demonstrated effective communication with internal and external clients and stakeholders.
Excellent interpersonal skills and the ability to build and maintain strong relationships with clinic staff, internal colleagues at Sentrex Health Services, and other personnel.
Excellent oral and written communication skills.
The candidate must have a quiet, dedicated personal home office for any work performed from home.
Strong analytical abilities, including interpretation of regulations and legislation.
Excellent customer service, problem-solving, and conflict-resolution skills.
Typing skills and the ability to use various software and technical systems effectively.
Must be willing to travel and possess a valid driver's license.
Benefits
Competitive salary and generous annual leave.
A wellness program (five paid wellness days!).
Paid sick leave.
A competitive insurance plan, including dental coverage, extended health insurance, accidental death and dismemberment insurance, long-term disability insurance, and life insurance for the employee and dependents.
Bilingual Document Specialist supporting a positive customer experience in Group Benefits Administration at Sun Life by processing documents and managing inquiries.
Caseworker managing patient and provider support for Cencora’s Innomar Strategies. Implementing case - management protocols and providing telephone support for funding and access issues.
Bilingual Corporate Roadside Assistance Representative handling inquiries for Canadian Tire. Providing customer service with availability for scheduling between 6AM to 11PM.
Bilingual Nurse Case Manager in McKesson's Patient Support Programs. Coordinating patient education and adherence support across the treatment journey in Canada.
Senior Associate at PwC specializing in SAP consulting services for operational efficiency. Analyzing client needs and implementing software solutions across SAP applications.
SAP EAM Consultant focused on delivering SAP solutions to enhance operational efficiency for clients. Collaborating across teams to implement and support complex business processes in SAP.
Customer Payments Specialist identifying and collecting delinquent payments for Equitable Bank. Responsible for maintaining high customer service values while managing collections in residential and commercial mortgages.
Vocational Case Coordinator managing referrals for TSA and EECA programs in Canada. Collaborating with multiple stakeholders and supporting operational efficiencies in vocational services.
Bilingual Senior Integration Specialist managing ongoing data feeds for item catalogs and purchase orders at Sodexo. Collaborating with partners and technical teams to ensure accuracy and integrity of system data.
Bilingual Integration Specialist working remotely with suppliers and technical teams at Sodexo. Maintaining data integrity and collaborating on data flow solutions.