ONE POINT PATIENT CARE SPECIALIST

Green Shield Canada•Mississauga, ON

3d•$51,383 - $79,261

About The Position

The One Point Patient Care Specialist is the primary point of contact for assigned physicians and their patients enrolled in the patient support program. This role ensures seamless coordination of care from enrollment through therapy initiation and ongoing treatment. Acting as a patient advocate, the One Point Patient Care Specialist facilitates communication between patients, physicians, and the pharmacy team, while also navigating reimbursement pathways and ensuring timely access to therapy.

Requirements

Post-secondary degree in healthcare, life sciences, nursing, pharmacy, or related field (or equivalent combination of education and experience).
Minimum of 3–5 years of experience in patient support programs, case management, or specialty pharmacy setting (specifically reimbursement and patient data coordination).
Strong understanding of reimbursement processes in Canadian healthcare (public and private).
Excellent communication, organizational, and problem-solving skills.
Demonstrated ability to work independently while collaborating effectively within a cross-functional team.
Proficiency in CRM systems (at least one year of experience with Kroll preferred) and Microsoft Office Suite.
Proficiency in English is required for this position.

Nice To Haves

Proficiency in Power BI preferred.
Bilingualism (English/French) is considered a strong asset.

Responsibilities

Serve as the single point of contact for assigned physicians and patients.
Provide ongoing updates to physicians regarding patient status and follow up to ensure continuity of care.
Conduct welcome calls with new patients, gather relevant information, obtain consent, and introduce them to program offerings.
Inform patients about available support services (case management, reimbursement support, self-injection training, prescription coordination, adherence support).
Maintain professional, empathetic, and proactive communication to resolve client and patient issues.
Manage all patient starts from enrollment through therapy initiation.
Ensure coordination of program services, including self-injection training and medication delivery.
Contact patients periodically to confirm adherence and coordinate medication delivery schedules.
Act as a patient advocate by exploring funding options, assisting with reimbursement processes, and supporting continuity of care.
Maintain expert-level knowledge of assigned molecule(s).
Demonstrate strong understanding of reimbursement mechanisms in public and private sectors, specifically within assigned territory.
Administer financial means tests and manage all aspects of patient financial assistance, as applicable.
Develop and maintain accurate documentation to support successful reimbursement outcomes.
Work collaboratively with Program Management, Patient Care Specialists, and Field/Case Managers to address escalations or interruptions in the patient journey.
Ensure accurate and timely documentation in the CRM system.
Report all Adverse Events (AE) and Product Technical Complaints (PTC) promptly in accordance with policies and procedures.