Bilingual Case Manager – Fixed-Term

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

📋 Description

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

• Offer drug coverage assistance to both physicians and patients.

• Follow up on submissions to private and provincial drug plans.

• Ensure prompt access to prescribed treatments.

• Provide ongoing patient support and assistance with therapy access.

• Enroll patients in the Patient Support Program.

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

• Investigate public and private insurers and support employer escalations.

• Review patient charts, prior therapies, and tests to assist physicians with coverage documentation.

• Supply therapy guidelines and program education.

• Conduct assessments of patient financial eligibility.

• Coordinate and monitor patient services.

• Report Adverse Events and Severe Adverse Events in compliance with approved SOPs.

• Maintain service levels in case management and program KPIs.

• Update the CRM with patient and clinic details.

• Collaborate with internal patient support teams.

• Engage with and provide feedback to the Program Manager.

• Identify coverage challenges and relay them to program leadership.

• Complete timesheets, expenses, mileage, and CRM documentation.

• Perform additional responsibilities as directed 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 the private and public reimbursement structure, systems, and processes is beneficial.

• Experience in rare diseases is considered an asset.

• Advanced understanding of the pharmaceutical distribution industry.

• Ability to work from home with a quiet, private office space is required.

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

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

• Effective interpersonal skills.

• Proficient typing skills and capability to be a strong functional user of various computer-based programs.

• Exceptional organizational skills and the ability to cultivate effective working relationships.

🏝️ Benefits

• 100% Canadian company with locations nationwide.

• State-of-the-art facilities.

• A collaborative, engaging workplace culture.

• Flexible working environment that promotes work-life balance.

• Diverse and inclusive culture.

• Employee Development Program.

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

• Generous vacation entitlement.

• Wellness Program providing 5 paid days off for well-being.

• Paid sick days.

• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance.

• Employee & Family Assistance Program.

• RRSP Matching Program.