Bilingual Case Manager

This is a fully remote position, open to applicants in Canada.

📋 Description

• Oversee all facets of patient enrollment, reimbursement procedures, and service coordination.

• Offer drug coverage assistance to both physicians and patients.

• Follow up on applications for private and provincial drug plan coverage.

• Ensure prompt access to prescribed therapies.

• Deliver ongoing patient support through effective communication and available resources.

• Register patients into the Patient Support Program.

• Collaborate with patients, insurers, and physicians regarding documentation for reimbursement coverage.

• Investigate both public and private insurers and address employer escalations.

• Review patient records, past therapies, and tests to aid physicians with coverage documentation.

• Provide therapy guidelines and educational resources about the program.

• Conduct assessments to determine patient financial eligibility.

• Coordinate and monitor patient services.

• Report Adverse Events and Severe Adverse Events following approved SOPs.

• Maintain case management service levels and program KPIs.

• Update the CRM tool with patient and clinic details.

• Collaborate with internal patient support teams.

• Liaise with and provide feedback to the Program Manager.

• Identify coverage challenges and escalate them to program management.

• Complete timesheets, expense reports, mileage, and CRM documentation.

• Perform additional duties as assigned by the Manager.

⛳️ Requirements

• A Bachelor’s degree.

• 2-3 years of experience in a Patient Support Program.

• Bilingualism in English and French is mandatory.

• Experience with reimbursement billing, special access, the appeals process, and field-based reimbursement support and consultation is advantageous.

• Familiarity with private and public reimbursement structures, systems, and processes is a plus.

• Experience in oncology or rare diseases is considered an asset.

• Advanced understanding of the pharmaceutical distribution sector.

• Must be capable of working from home and possess a quiet, private home office space.

• Strong analytical abilities, including the interpretation of regulations and legislation.

• Exceptional customer service, problem-solving, and conflict resolution skills.

• Effective interpersonal communication skills.

• Proficient typing skills and competent in various computer-based applications.

• Outstanding organizational abilities.

• Ability to cultivate effective working relationships with colleagues, management, and stakeholders.

🏝️ Benefits

• State-of-the-art facilities to deliver top-quality products and services.

• A collaborative and engaging workplace culture.

• A flexible working environment that encourages a healthy work-life balance.

• A diverse and inclusive culture.

• Employee Development Program.

• Industry-leading in-house corporate training provided throughout the year.

• Competitive salary.

• Generous vacation entitlement.

• Wellness Program offering 5 paid days off for your well-being!

• Paid sick days.

• Comprehensive benefits package including dental and extended health benefits, AD&D, LTD, and employee/dependent life insurance.

• Employee and Family Assistance Program.

• RRSP matching program.