Bilingual Case Manager- Quebec

OverviewJoin to apply for the Bilingual Case Manager- Quebec (Remote) role at Sentrex Health Solutions.Position Type: Full TimeDepartment: Patient ProgramsWork Location: CanadaWork Arrangement: RemoteWork Hours: Monday to Friday, 9am-5 pm ESTTravel: Up to 30% as requested (Quebec)A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, as well as HCP & Clinic Services.Come and join our team We love working here and offer a collaborative, high-performing environment with a focus on people, flexibility, and growth.Note: EEO statements and accommodations information are included below where applicable.The OpportunityThe Bilingual Case Manager is responsible for managing all aspects of enrollment, reimbursement process, and service coordination for patients prescribed a drug by physicians. The role provides drug coverage support to physicians and patients, follows up on submissions to obtain coverage through private and provincial drug plans, ensures timely access to prescribed therapies, and supports patients through excellent communication and available resources.A Day in the Life (What you will do here)Responsible for the timely enrollment of the patient into the Patient Support Program.Collaborate with the patient, insurer and physician regarding documentation for maximal reimbursement coverage, including investigation of public and private insurers and supporting employer escalations as required.Review patient status and assist the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.Provide therapy guidelines/education on the program to manage patient and physician expectations.Collect information and conduct patient financial assessment eligibility based on program guidelines.Ensure patient services are coordinated and tracked in a timely manner for quick and continued access to therapy.Report 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 24 hours, and other KPIs.Electronically update the CRM tool with timely patient and clinic information.Foster a spirit of teamwork with internal patient support teams.Provide ongoing feedback to the Program Manager based on field observations and customer feedback regarding quality of services, training, and other areas of importance.Identify obstacles to obtaining coverage and channel information to the Program Manager and/or Assistant Program Manager.Complete relevant reports (time sheets, expenses, mileage, validate CRM reports) as per timelines and standards.Up to 30% travel as requested (Quebec).Additional duties as requested by the Manager.What you need to ensure you are set up for successA Bachelor’s degree2-3 years of experience in Patient Support ProgramBilingualism (English and French) requiredExperience with reimbursement billing, special access, appeals process, and field-based reimbursement support is an assetKnowledge of private and public reimbursement structures, systems, and processes is an assetExperience in oncology or rare disease is considered an assetAdvanced knowledge of the pharmaceutical distribution industryAbility to work from home with a quiet, private home office spaceStrong analytical skills including interpretation of regulation and legislationExcellent customer service, problem-solving, and conflict resolution skillsEffective interpersonal skillsTyping skills and ability to be a strong user of various computer-based programsMust have valid license and access to a vehicleWhat makes you a great fit for this teamCommitment to providing a high level of service to internal and external clientsAdaptable with a track record of success during growth and organizational changeProven ability to develop trust and influence at multiple levelsImpactful and candid communication styleExceptional organizational skills and ability to build effective working relationshipsWhy join Sentrex?We value our employees. Permanent full-time employees receive a competitive salary with vacation entitlement, Wellness Program, Paid Sick Days, Benefits Package (including Dental & Extended Health Benefits, AD&D, LTD & Life Insurance), Employee & Family Assistance Program, and RRSP Matching.Sentrex Health Solutions is proud to be an equal opportunity employer demonstrating commitment to diversity, inclusion, belonging, equity, and accessibility. We provide a safe space for all team members to express their individuality within our corporate culture. Accommodations can be made available upon request for candidates participating in the selection process.Additional informationSeniority level: Entry levelEmployment type: Full-timeJob function: OtherIndustries: Hospitals and Health CareReferrals increase your chances of interviewing at Sentrex Health Solutions. Get notified about new Case Manager jobs in Markham, Ontario, Canada.Greater Toronto and Hamilton Area, Ontario, Canada #J-18808-Ljbffr