Reimbursement Program Manager

2 months ago

Mississauga, Canada Bayshore HealthCare Full time

**ABOUT THE ROLE**
The Pharmaceutical Patient Support Program Manager, under the direction of the Portfolio Manager, is responsible for the oversight, operations, and direct management of Pharmaceutical Patient Support Programs.
The Patient Support Program Manager, in keeping with the organizational structure of the Patient Support Services division, assumes overall responsibility for financial and operational requirements, relating to their program/s. They are also responsible for the implementation of contractual agreements, specific to the delivery of client and patient services, as well as metrics on a specific drug therapy and/or other related projects.

**A DAY IN THE LIFE**

***

**_Patient Support Program Management:_**
- Collaborates with partnering pharmaceutical company to ensure performance expectations are met and maintained.
- Maintains a patient-centric approach to all decisions and activities related to their assigned Patient Support Program.
- Works closely with internal stakeholders to ensure ongoing alignment and operations are meeting program requirements.
- Communicates program updates (including competitive intelligence and strategic insight) on an ongoing basis with Bayshore management team.
- Takes a quality improvement approach when reviewing operations and delivering patient care.
- Maintains confidentiality of client and corporate information at all times.
- Develops business cases that deliver prompt, cost effective, creative solutions to the client and Bayshore.
- Utilizes data modeling and analytical techniques to identify efficiencies and areas of opportunity and improvement.
- Is responsible for understanding, implementing, and monitoring of all data reporting assigned to the program and submitted to internal and external stakeholders for review.
- Uses exceptional negotiation and customer service skills to cultivate long term partnerships in an ethical, transparent manner.
- Prepares and presents Quarterly Business Reviews to both internal and external stakeholders.
- Supports the procurement, implementation, launch, and development of revenue-generating programs.
- Serves as primary point of contact for internal/external partners, to address and resolve any program-specific inquires.
- Is financially responsible for the program Profit & Loss (P&L) and works with senior management and finance to ensure the program is in a positive financial position.
- Consistently and proactively stays abreast of industry changes and shares strategic market insight with pharmaceutical partners.
- Demonstrates strong presentation skills and has public speaking ability to present complex data to customer groups during quarterly business meetings and for all ad hoc requests.

**_Operations:_**
- Develops and maintains specific program protocols, supporting documents, policies, and procedures, including but not limited to SOPs, Work Instructions, and process flows.
- Actively participates in the reporting of incidents or occurrences through the Quality Event (QE) system.
- Has a solid understanding of accounts payable and accounts receivable methodology.
- In conjunction with the Pharmacovigilance department, assures collection, processing and reporting of Adverse Events (AEs) within contractual Key Performance Indicators (KPIs) and pharmacovigilance requirements.
- Has strong project management skills and the ability to manage day-to-day operations, while assuming responsibility for several projects simultaneously.
- Must be able to identify and report AEs to Health Canada, Med Info, and enter into source system and third-party systems.
- Assists in the development and/or revision of policies and procedures.
- Performs and supports regular program audits and quality assurance reviews to ensure KPIs and client expectations are met.

**_Human Resources:_**
- Liaises with HR and Portfolio Manager to coordinate recruitment, orientation, coaching, workload planning, and retention initiatives.
- Directly manages program-specific employees to ensure the delivery of high-quality care and adherence to program, government, company, and ISO 9001-2000 standards.
- Participates in proactive Health & Safety activities while performing all duties. Is responsible to notify HR of any Health & Safety risks or concerns.
- Responsible for completing Accident Reports for all direct reports who injure themselves on the job, within 24 hours of the incident.
- Leads or assist with the implementation of Modified Work Programs for employees.
- Develops and delivers employee training, including but not limited to clinical and reimbursement programs.
- Completes other tasks, as requested.

Job Qualification

**WHAT YOU BRING TO THE TEAM**

***

**_Education:_**
- Business graduate discipline in any field (College diploma, Undergraduate, Graduate)

Or- Graduate of Registered Nursing Program or of any other Registered Health Care field holding current registration from an accredited School including Pharmacy

**_Experience

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