Bilingual Case Manager – Quebec

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

📋 Description

• Oversee all elements of patient enrollment, reimbursement processes, and coordination of services.

• Offer drug coverage assistance to both physicians and patients.

• Monitor and follow up on submissions for private and provincial drug-plan coverage.

• Ensure prompt access to prescribed therapies.

• Register patients in the Patient Support Program.

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

• Research public and private insurers and support employer escalations.

• Review patient status, medical charts, previous treatments, and tests.

• Assist physicians with documentation for public and private coverage.

• Provide therapy guidelines and educational resources for the program.

• Conduct assessments for patient financial eligibility.

• Organize and monitor patient services.

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

• Maintain service levels in case management and adhere to program KPIs.

• Update the Customer Relationship Management (CRM) tool with pertinent patient and clinic information.

• Collaborate with internal patient support teams.

• Provide insights to the Program Manager on service quality, training, and other pertinent areas.

• Identify and escalate coverage challenges to program leadership.

• Complete timesheets, expense reports, mileage logs, CRM validations, and other documentation as required.

• Travel up to 30% as necessary within Quebec.

• Perform additional responsibilities as assigned by the Manager.

⛳️ Requirements

• A Bachelor’s degree is required.

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

• Proficiency in both English and French is mandatory.

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

• Familiarity with the structure, systems, and processes of both private and public reimbursement is a plus.

• Experience in oncology or rare diseases is considered beneficial.

• Advanced understanding of the pharmaceutical distribution industry is required.

• Must be able to work remotely and possess a quiet, private home office environment.

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

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

• Effective interpersonal communication skills.

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

• A valid driver's license and access to a vehicle are necessary for travel up to 30% within Quebec.

🏝️ Benefits

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

• Employee Development Program.

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

• Quarterly virtual social events.

• Competitive salary.

• Generous vacation entitlement.

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

• Paid Sick Days.

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

• Employee & Family Assistance Program.

• RRSP Matching Program.