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Employment Opportunity

  • Title: Bilingual Case Manager - Patient Programs
  • Employer: Sentrex
  • Display Date: 2022-01-21
  • Location: Markham, ON Télétravail
  • Salary: Non disponible
  • Preferred application method: temps plein

Description:

Bilingual Case Manager - Patient Programs
Sentrex
Markham, ON
Télétravail

Sentrex Health Solutions is a growing provider of services within the life sciences industry. We partner with our clients to design and deliver logistic and service solutions at every stage of a product\\\'s life cycle. We offer our clients:

Patient Assistance Programs
Customer Service support
Specialty Pharmacy Services
Customized solutions for Warehouse, Wholesale and Distribution
We employ healthcare professionals and case managers to provide our clients with the best services in our industry, if you are the best at what you do then you should join our team.

The Bilingual Case Manager is responsible for managing all the aspects of the enrollment, reimbursement process, and service coordination for patients who have been prescribed the drug by physicians. The Bilingual Case Manager will provide drug coverage support to physicians and patients, follow-up on submissions pertaining to obtaining coverage through private and provincial drug plans, ensure patients have access to their prescribed treatments in a timely manner, and provide continuous support for patients through excellent communication skills and available resources to ensure patients have easy access to their prescribed therapy.

Primary Duties and 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 maximum 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 with preparing 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 at the Program level.
Electronically update the Customer Relationship Management (CRM) tool by entering timely patient and clinic information.
Fosters and promotes a spirit of teamwork while working with internal patient support teams.
Acts as 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 assigned by the manager.

Minimum Qualifications:

Completion of a Bachelor’s degree
Bilingualism (English and French) is required, and successful completion of a literary test is a requirement for this role
Ability to travel (on occasion)
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 pharmaceutical distribution industry
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
Experience with reimbursement billing, special access, appeals process, and conducting field-based reimbursement support and consultation is an asset
Knowledge of private and public reimbursement structure, systems, and process is an asset

Sentrex Health Solutions recognizes the importance of immunization to protecting our staff, customers, and members of the community from COVID-19. As such, and subject to any obligations under applicable human rights legislation, it will be a condition of employment that all new hires have received all required doses of a COVID-19 vaccine approved by Health Canada. Successful applicants will be required to provide proof of full vaccination prior to their start date.

Why work at Sentrex Health Solutions

We are building an exciting organization and we want like-minded people to help us reach our vision. We are an entrepreneurial team – a flat organization that offers lots of autonomy and flexibility to be excellent at your job.

Aside from a chance to build something from the ground up, we are offering a competitive salary, a great work environment, and good benefits. We are looking for a full-time, long-term employee and we’ll hire as soon as we meet the right person.

We look forward to seeing your application!

Sentrex

Expiration Date: 2022-01-31