Senior Patient Care Navigator – Fixed Term, 18 Months

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

📋 Description

• Navigate the Canadian reimbursement framework to secure coverage with both public and private payers.

• Lead the appeal writing process in collaboration with the assigned Patient Support Program (PSP) point of contact.

• Develop, implement, and support updates on reimbursement, training, best-practice sharing, strategies, and products.

• Initiate cases with insurance companies and healthcare professionals to optimize reimbursement solutions.

• Respond promptly and courteously to incoming calls, emails, and voicemails.

• Set and process tasks in a timely manner to ensure the best possible patient and physician experiences.

• Enroll patients into the Patient Support Program.

• Coordinate and monitor patient services to ensure timely and continued access to therapy.

• Update the CRM system electronically and provide proactive updates to patients and clinics.

• Report Adverse Events and Severe Adverse Events in accordance with SOP guidelines.

• Maintain necessary service levels for clients, projects, and initiatives.

• Collaborate with internal business units and provide feedback to the Manager.

• Complete billing, timesheets, expenses, mileage, and CRM reports within the required timelines.

• Build organizational relationships and manage special projects.

• Uphold professionalism and strict confidentiality.

• Perform additional duties as assigned by the manager.

⛳️ Requirements

• Previous experience in appeal writing with a demonstrated history of successful outcomes.

• Prior experience in specialty pharmacy is regarded as a significant asset.

• Experience in Gastroenterology and/or Dermatology is also considered a strong advantage.

• Experience working directly with Physicians and Healthcare Professionals, with a comprehensive understanding of patient flow, is required.

• Previous experience in Patient Support Programs is preferred.

• Proficiency in the Microsoft Office suite and phone systems.

• Experience working with databases, including ERP/CRM systems.

• Extensive computer and software proficiency.

• Strong organizational skills and the ability to manage changing priorities independently.

• Accurate data entry skills for both paper and electronic forms.

• Self-motivated and capable of working independently with minimal supervision.

• Knowledge of private and public reimbursement structures, systems, and navigation processes is required.

• Ability to work from home in a quiet, private office environment.

• Excellent verbal and written communication skills in English.

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

• Understanding of the pharmaceutical distribution industry is required.

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

• Commitment to confidentiality and discretion.

🏝️ Benefits

• 100% Canadian company with locations nationwide.

• State-of-the-art facilities.

• Collaborative and engaging workplace culture.

• Flexible working environment that promotes work-life balance.

• Diverse and inclusive culture.

• Employee Development Program.

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

• Competitive salary.

• Generous vacation entitlement.

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

• Paid sick days.

• Competitive benefits package including dental and extended health benefits, AD&D, LTD, and employee/dependent life insurance.

• RRSP matching program.

• Employee & Family Assistance Program.