Bilingual Patient Care Navigator – Fixed-Term

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

📋 Description

• Serve as the main contact for all patient-related aspects of the Patient Support Program.

• Ensure timely enrollment of patients into the Patient Support Program.

• Provide both inbound and outbound phone support, including calls for maintenance and adherence.

• Collaborate with patients, insurers, and physicians to secure documentation for optimal reimbursement coverage.

• Investigate issues with public and private insurers and assist with employer escalations.

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

• Offer therapy guidelines and program education to both patients and physicians.

• Gather information and perform patient financial eligibility assessments.

• Coordinate services by liaising with physicians' offices, pharmacies, infusion/injection service providers, and other stakeholders.

• Monitor patient services to ensure swift and ongoing therapy access.

• Review, analyze, and validate patient information for accuracy and completeness.

• Maintain case-management service levels and track program KPIs.

• Ensure accurate patient and clinic information is recorded in the CRM system.

• Promote teamwork with internal patient support teams.

• Identify coverage challenges and escalate information to the PSP Supervisor.

• Advocate for patients and follow up until coverage decisions are made.

• Uphold confidentiality regarding patient, client, and corporate information.

• Carry out additional responsibilities as assigned by the Manager.

⛳️ Requirements

• Completion of post-secondary education; healthcare experience is beneficial.

• Bilingual proficiency in English and French is mandatory.

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

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

• Capability to work remotely with a quiet, private home office setup is essential.

• Exceptional verbal and written communication skills.

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

• Advanced understanding of the pharmaceutical distribution sector.

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

• Effective interpersonal skills.

• Exceptional organizational abilities and a knack for fostering strong working relationships.

• Dedication to maintaining high service standards.

• Flexibility and a proven history of success amid growth and organizational changes.

• Established ability to build trust and influence at various levels.

• Direct and impactful communication style.

🏝️ Benefits

• Access to state-of-the-art facilities for delivering high-quality products and services.

• Opportunity to join a successful, high-performing team.

• A collaborative and engaging workplace culture.

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

• Commitment to a diverse and inclusive culture.

• Opportunities for professional learning and development through the Employee Development Program.

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

• Competitive salary offered.

• Generous vacation entitlement.

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

• Paid sick leave.

• Comprehensive benefits package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance.

• Employee & Family Assistance Program.

• RRSP Matching Program.