Bilingual Case Manager - Ontario or Quebec (Remote)

Sentrex Health Solutions

10d•$50,000 - $62,000•Remote

About The Position

Sentrex Health Solutions is a proudly Canadian company that serves as a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. They offer innovative solutions to ensure patients have access to and support for their treatments, maximizing outcomes through strategic distribution models and patient support programs. These are backed by integrated technology and experienced, cross-functional teams. Their core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, and HCP & Clinic Services. The Bilingual Case Manager is responsible for managing all aspects of patient enrollment, reimbursement processes, and service coordination for patients prescribed medication by physicians. This includes providing drug coverage support, following up on submissions for private and provincial drug plans, ensuring timely access to treatments, and offering continuous support through communication and resources to ensure patients have easy access to their prescribed therapy.

Requirements

A Bachelor’s degree
2-3 years of experience in Patient Support Program
Bilingualism (English and French) is required
Must be able to work from home and have a quiet, private home office space
Strong analytical skills including interpretation of regulation and legislation
Excellent customer service, problem-solving, and conflict resolution skills
Effective interpersonal skills
Typing skills and ability to be a strong functional user of various computer-based programs

Nice To Haves

Experience with reimbursement billing, special access, the appeals process, and conducting field-based reimbursement support and consultation is an asset
Knowledge of private and public reimbursement structure, systems, and the process is an asset
Experience in rare disease considered an asset
Advanced knowledge of the pharmaceutical distribution industry
Your commitment to providing a high level of service to your internal and external clients.
You are highly adaptable with a track record of success during times of growth and organizational change.
You have a proven track record of developing trust and influence at multiple levels.
You demonstrate an impactful and candid communication style.
You have exceptional organizational skills with the ability to build effective working relationships with colleagues, management, and stakeholders.

Responsibilities

Responsible for the timely enrollment of the patient into the Patient Support Program.
Collaborate with the patient, insurer and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.
Reviews patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
Provides therapy guidelines/education on the program to manage patient and physician expectations.
Collects information and conducts patient financial assessment eligibility based on program guidelines.
Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
Reports Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
Maintain service levels in case management, including telephone answer rates, time to initial contact with the patient, Adverse Events reported within twenty-four hours of receipt and any other KPIs established as the Program level.
Electronically updates the Customer Relationship Management (CRM) tool by providing timely patient and clinic information.
Fosters and promotes a spirit of teamwork while working with internal patient support teams.
Acts a liaison and provides ongoing feedback to the Program Manager based-on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Assistant Program Manager.
Completes all relevant reports (time sheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards.
Additional duties as requested by the Manager.

Benefits

We are 100% Canadian with locations across the country
State-of-the-art facilities to provide high-quality products and services
The opportunity to be a part of a winning, high-performing team
Collaborative, engaging workplace culture – we are passionate about our people!
Flexible working environment that promotes a healthy work-life balance
Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued
High-growth environment that provides opportunities for learning and growth supported by our Employee Development Program and industry-leading, in-house corporate training offered throughout the year
Competitive Salary and generous vacation entitlement
Wellness Program (5 paid days off for your 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
The anticipated base salary hiring range for this role is $50k-$62k annually. The final base salary will be determined based on relevant experience, skills, and internal equity.