Bilingual Patient Care Navigator – Fixed-Term

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

📋 Description

• Oversee all components of patient enrollment, reimbursement procedures, and service coordination for participants in the Patient Support Program.

• Serve as the main point of contact for all patient-related aspects of the program.

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

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

• Collaborate with patients, insurers, and healthcare providers regarding documentation to secure maximum reimbursement coverage.

• Research public and private insurers and address employer escalations.

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

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

• Gather information and conduct financial eligibility assessments for patients.

• Coordinate with physicians' offices, pharmacies, infusion/injection service providers, and other stakeholders to facilitate patient services and resolve issues.

• Track and coordinate patient services to ensure swift and ongoing access to therapy.

• Review, analyze, and confirm the accuracy and completeness of patient information.

• Uphold case-management service standards, including telephone answer rates, initiation times, adverse-event reporting, and program KPIs.

• Keep precise patient and clinic information within the CRM system.

• Collaborate with internal patient support teams.

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

• Follow up and advocate until coverage decisions are obtained.

• Maintain the confidentiality of patient, client, and corporate data.

• Execute additional responsibilities as assigned by the Manager.

⛳️ Requirements

• Post-secondary education with experience in the healthcare sector is an asset.

• Bilingualism in English and French is mandatory.

• Experience in reimbursement billing, special access, the appeals process, and providing support and consultation is a plus.

• Familiarity with private and public reimbursement frameworks, systems, and processes is an asset.

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

• Exceptional verbal and written communication skills.

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

• Advanced knowledge of the pharmaceutical distribution sector.

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

• Effective interpersonal skills.

• Highly adaptable with a proven success record during periods of growth and organizational change.

• Demonstrated ability to build trust and influence across multiple levels.

• Direct and impactful communication style.

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

• Available to work standard office hours, Monday to Friday, 8:00 am–4:00 pm or 9:00 am–5:00 pm EST.

🏝️ Benefits

• Access to state-of-the-art facilities for providing top-quality products and services.

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

• Participation in an Employee Development Program.

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

• Competitive salary.

• Generous vacation entitlement.

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

• Paid Sick Days.

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

• Employee & Family Assistance Program.

• RRSP Matching Program.

• Remote work opportunities.

• Accommodations available upon request during the selection process.