PATIENT CARE SPECIALIST - PSP - BILINGUAL PREFERRED - MISSISSAUGA - HYBRID

Green Shield Canada•Mississauga, ON

7d•$51,383 - $79,261•Hybrid

About The Position

This posting is intended to build a pipeline of qualified candidates in anticipation of the growth our Pharmacy team is forecasting across the country. While there may not be an immediate opening, we encourage you to apply so we can connect when a suitable opportunity arises. Reporting to the Lead, Patient Support Programs (PSP) & Preferred Pharmacy Network (PPN), the Bilingual PSP Case Manager provides national support to Canadian patients living with chronic or rare conditions by ensuring patients have access to their prescribed treatments in a timely manner and improve their quality of life. The Bilingual PSP Case Manager provides enrolment and reimbursement assistance, manages financial assistance activities, provides patients with disease state education, performs case management and healthcare services to patients, their dependents and the patient’s direct circle of care for specific prescribed molecules. The Case Manager manages Special/Prior Authorizations at both the private and public payer-levels with submissions pertaining to obtaining drug reimbursement and coverage through private and provincial drug formularies.

Requirements

Fully Bilingual in French and English (fluently read, write and speak) - Strongly preferred.
Possess strong clinical expertise and experience in a range of health conditions
A university degree in a health-related field
5+ years PSP or case management experience ideally
Understanding of provincial and private coverage criteria and how to navigate the Canadian drug coverage landscape
Familiarity with the Special / Prior Authorization process with both public and private insurance
Familiarity and knowledge of Health Canada Pharmacovigilance requirements
Proven ability to work effectively as part of an interdisciplinary team and demonstrate competence in performance of case management, providing patient education, virtual assessments / interventions and documentation
Excellent organizational, problem-solving, decision making, conflict resolution and critical thinking abilities
Excellent interpersonal, listening and communication skills (written and verbal), ability to direct conversations and target specific issues
Tech savvy with fundamental knowledge of Microsoft Office and other tools
Self-regulation of time management and the ability to multi-task and adhere to deadlines
Familiarity with Provincial (e.g. Personal Health Information Protection Act) and Federal (e.g. Consumer Privacy Protection Act) privacy laws
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.

Responsibilities

Assist prescribing physicians with the completion of patient enrolments, gathering all pertinent information to complete private and/or provincial insurance forms
Liaise with insurance and healthcare providers as well as provincial governments as necessary to determine coverage options
Review patient charts (paper or electronic)
Complete welcome call activities with the patient according to defined program Standards of Practice (SOP)
Facilitate any required communication with physicians, patient support programs, or other healthcare professionals in the patient’s circle of care
Work closely with the manufacturer’s sales resources to support specific physician and staff needs
Offer and provide educational training to patients and physicians on specific product’s administration as aligned to the approved Health Canada product monograph
Act as a central resource for program stakeholders, which includes but not limited to physicians, nurses, patients, clinics, pharmacists, lab technicians, etc.
Ensure patient records are meticulously maintained and data is accurate in order to meet program reporting requirements
Leverage Pharmacovigilance knowledge and identify Adverse Events (AEs) / Product Quality Complaints (PQCs) and report according to predefined Health Canada and manufacturer expectations
Utilize nursing processes, through critical thinking, problem solving and decision making to proactively manage assigned patients who require case management services
Effectively navigate, teach, counsel, coach, support, direct and advocate as required on specific diseases, therapies and disease management
Provide adherence and persistency case management as required by the program
Utilize multiple software applications including CRM
Participate in quality activities and support continuous improvement of programs
Ensure compliance with provincial & federal privacy legislation
Participate in on going internal and/or external continuing education activities
Adhere to GreenShield Pharmacy’s Polices, Processes and Procedures