Bilingual Case Manager

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

📋 Description

• Oversee all facets of patient enrollment, reimbursement processes, and coordination of services for prescribed therapies.

• Offer drug coverage assistance to both physicians and patients.

• Follow up on submissions for coverage under private and provincial drug plans.

• Guarantee prompt and sustained patient access to prescribed treatments.

• Collaborate with patients, insurers, physicians, and employers regarding reimbursement documentation and escalations.

• Examine patient charts, previous therapies, and tests to bolster coverage documentation.

• Deliver therapy guidelines and educational resources about programs to patients and physicians.

• Gather information and perform financial eligibility assessments for patients.

• Coordinate and monitor patient services effectively.

• Report Adverse Events and Severe Adverse Events in accordance with established SOPs.

• Maintain case-management service levels and program KPIs.

• Update patient and clinic information within the CRM system.

• Work collaboratively with internal patient support teams.

• Provide field insights and serve as a liaison to the Program Manager.

• Identify coverage challenges and escalate them to program management.

• Complete timesheets, expenses, mileage, and CRM reports within specified timelines.

• Execute additional tasks as directed by the Manager.

⛳️ Requirements

• Bachelor’s degree.

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

• Bilingual proficiency in English and French is mandatory.

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

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

• Experience in oncology or rare diseases is considered a plus.

• Advanced understanding of the pharmaceutical distribution industry.

• Ability to work remotely in a quiet, private home office environment.

• Strong analytical capabilities, including the ability to interpret regulations and legislation.

• Excellent customer service skills, along with problem-solving and conflict-resolution abilities.

• Strong interpersonal skills.

• Proficient typing skills and the ability to be a competent user of various computer-based applications.

• Capacity to build trust and influence at multiple organizational levels.

• Exceptional organizational skills and the ability to cultivate effective working relationships with colleagues, management, and stakeholders.

🏝️ Benefits

• Flexible working environment that supports a healthy work-life balance.

• A diverse and inclusive culture.

• Opportunities for professional development and growth.

• Employee Development Program.

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

• Competitive salary.

• Generous vacation entitlement.

• Wellness Program (5 paid days off for your well-being!).

• Paid sick days.

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

• Employee & Family Assistance Program.

• RRSP matching program.

• Remote work arrangement.