Senior Case Manager

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

📋 Description

• Provide comprehensive case management, training, and support services across various programs and departments.

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

• Offer drug coverage assistance to both physicians and patients.

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

• Ensure patients have timely access to their prescribed treatments.

• Deliver ongoing patient support utilizing available resources.

• Assist with the training requirements of programs and create as well as maintain training materials.

• Enroll patients in the Patient Support Program promptly.

• Collaborate with patients, insurers, and physicians to document reimbursement coverage.

• Research public and private insurers and assist with employer escalations.

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

• Provide therapy guidelines and educational resources for programs.

• Conduct assessments of patient financial eligibility.

• Coordinate and track patient services effectively.

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

• Maintain case management service levels and adherence to program KPIs.

• Update the CRM with relevant patient and clinic information.

• Offer feedback to the Associate Program Manager regarding service quality, training, and field observations.

• Provide backup support to PSP Supervisors, Associate Program Managers, and Program Managers.

• Identify coverage challenges and suggest corrective measures.

• Participate in PSP team and client meetings.

• Complete reports, timesheets, expenses, mileage, and CRM validations.

• Develop work instructions and training documents.

• Support activities related to program pre-launch and post-launch.

• Update training materials and facilitate both in-person and virtual learning sessions.

• Manage several projects simultaneously while adhering to tight deadlines.

• Serve as a subject matter expert in CRM and case management.

• Shadow case managers to provide training and support.

• Offer ad hoc assistance to programs, teams, and departments.

• Assist with data cleanup and other tasks as assigned by PSP Management.

⛳️ Requirements

• Bachelor’s Degree or College Diploma in a relevant field of study.

• 2-5 years of experience in Patient Support Programs, with a strong understanding of Case Management and the pharmaceutical distribution sector.

• In-depth knowledge of reimbursement billing, special access, the appeals process, and field-based reimbursement support and consultation.

• Must have the ability to work from home and possess a quiet, private home office space.

• Exceptional verbal and written communication skills in English.

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

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

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

• Strong interpersonal abilities.

• Proficient in various computer-based programs.

• Skilled in Adobe Acrobat, SharePoint, and Microsoft Office applications.

• Proven ability to consistently meet deadlines and prioritize projects effectively.

• Outstanding organizational skills.

• Capacity to establish and foster healthy working relationships and partnerships with colleagues.

• Ability to work independently, make decisions, multitask, and address challenges under significant pressure.

• Flexible, resourceful, creative, and proactive work style.

• Results-oriented with the capability to manage multiple tasks while maintaining high performance standards.

• Advanced aptitude for quickly learning and understanding new systems and software.

• Excellent problem-solving capabilities.

• Bilingualism (English and French) will be regarded as a significant asset.

🏝️ Benefits

• State-of-the-art facilities to deliver high-quality products and services.

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

• A diverse and inclusive culture.

• Employee Development Program.

• Industry-leading, in-house corporate training offered 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 & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance.

• Employee & Family Assistance Program.

• RRSP Matching Program.

• Remote work arrangement.