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 procedures, and coordination of services.

• Assist physicians and patients with drug coverage support.

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

• Ensure patients have timely and ongoing access to prescribed therapies.

• Collaborate with patients, insurers, physicians, and internal patient support teams.

• Analyze patient charts, past therapies, and tests to assist in coverage documentation.

• Offer therapy guidelines and educational resources for programs.

• Conduct assessments of patient financial eligibility.

• Monitor patient services and uphold case-management service standards and KPIs.

• Report adverse and severe adverse events in accordance with approved SOPs.

• Update CRM with information regarding patients and clinics.

• Provide insights to the Associate Program Manager and highlight coverage challenges.

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

• Engage in PSP team and client meetings.

• Complete necessary reports, timesheets, expense claims, mileage logs, and CRM updates.

• Develop and sustain work instructions and training materials.

• Assist in program activities before and after launch.

• Deliver training content and facilitate both in-person and virtual learning sessions.

• Manage multiple projects under tight deadlines and enhance processes.

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

• Shadow case managers while providing training and support.

• Offer ad hoc assistance, data cleanup, and other tasks as assigned by PSP Management.

⛳️ Requirements

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

• 2–5 years of experience in Patient Support Programs with in-depth knowledge of Case Management and the pharmaceutical distribution sector.

• Advanced understanding of reimbursement billing, special access, the appeals process, and field-based reimbursement support and consultation.

• Must be able to work from home in a quiet and private office space.

• Outstanding verbal and written communication skills in English.

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

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

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

• Excellent interpersonal skills.

• Proficient in various computer-based programs.

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

• Capacity to consistently meet deadlines and prioritize projects effectively.

• Superior organizational skills.

• Ability to build and maintain healthy working relationships and partnerships with peers.

• Capability to work independently, make decisions, multitask, and resolve issues under pressure.

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

• Results-oriented with the ability to handle multiple tasks while maintaining high performance.

• Advanced capacity to quickly learn and comprehend new systems and software.

• Bilingualism in English and French is regarded as a significant asset.

🏝️ Benefits

• Access to state-of-the-art facilities that provide high-quality products and services.

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

• A collaborative and engaging workplace culture.

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

• A diverse and inclusive culture.

• Employee Development Program.

• Leading corporate training provided in-house.

• Competitive salary.

• Generous vacation entitlement.

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

• Paid sick days.

• Comprehensive benefits package, including dental and extended health benefits, AD&D, LTD, and life insurance for employees and dependents.

• Employee & Family Assistance Program.

• RRSP Matching Program.