Resume Score

Check how well your resume matches this job before you apply.

Sign in to check score

About the role

  • Bilingual Patient Care Navigator coordinating enrollment, reimbursement, and therapy access for pharmaceutical patient support programs in Quebec. Supporting patients, physicians, insurers, pharmacies, and care providers remotely.

Responsibilities

  • Manage all aspects of patient enrollment, reimbursement processes, and service coordination for patients in the Patient Support Program
  • Act as the primary point of contact for patient-related elements of the program
  • Enroll patients into the Patient Support Program in a timely manner
  • Provide inbound and outbound telephone support, including maintenance and adherence calls
  • Collaborate with patients, insurers, and physicians regarding documentation for maximum reimbursement coverage
  • Investigate public and private insurers and support employer escalations
  • Review patient charts, previous therapies, and tests to assist physicians with public or private coverage documentation
  • Provide therapy guidelines and program education to patients and physicians
  • Collect information and conduct patient financial eligibility assessments
  • Liaise with physicians' offices, pharmacies, infusion/injection service providers, and other parties to coordinate patient services and resolve issues
  • Coordinate and track patient services to ensure quick and continued access to therapy
  • Review, analyze, and validate patient information for accuracy and completeness
  • Maintain case-management service levels, including telephone answer rates, contact initiation times, adverse-event reporting, and program KPIs
  • Maintain accurate patient and clinic information in the CRM system
  • Collaborate with internal patient support teams
  • Identify coverage obstacles and escalate information to the PSP Supervisor
  • Follow up and advocate until coverage decisions are received
  • Maintain confidentiality of patient, client, and corporate information
  • Perform additional duties as requested by the Manager

Requirements

  • Post-secondary education with experience in healthcare is an asset
  • Bilingualism (English and French) is a requirement
  • Experience with reimbursement billing, special access, the appeals process, and providing support and consultation is an asset
  • Knowledge of private and public reimbursement structures, systems, and processes is an asset
  • Must be able to work from home and have a quiet, private home office space
  • Excellent verbal and written communication skills
  • Strong analytical skills, including interpretation of regulation and legislation
  • Advanced knowledge of the pharmaceutical distribution industry
  • Excellent customer service, problem-solving, and conflict resolution skills
  • Effective interpersonal skills
  • Highly adaptable with a track record of success during times of growth and organizational change
  • Proven track record of developing trust and influence at multiple levels
  • Impactful and candid communication style
  • Exceptional organizational skills and ability to build effective working relationships with colleagues, management, and stakeholders
  • Must work standard office hours, Monday to Friday, 8:00 am–4:00 pm or 9:00 am–5:00 pm EST

Benefits

  • State-of-the-art facilities to provide high-quality products and services
  • Flexible working environment that promotes a healthy work-life balance
  • Employee Development Program
  • Industry-leading, in-house corporate training offered throughout the year
  • Competitive salary
  • Generous vacation entitlement
  • Wellness Program with 5 paid days off for well-being
  • Paid Sick Days
  • Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
  • Employee & Family Assistance Program
  • RRSP Matching Program
  • Remote work arrangement
  • Accommodations available upon request during the selection process

Job title

Job type

Full Time

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

No Education Requirement

Location requirements

RemoteCanada

Report this job

Found something wrong with the page? Please let us know by submitting a report below.