Job Title

BILINGUAL PATIENT CARE SPECIALIST - PSP - MISSISSAUGA - HYBRID - $51,383.00-$79,261.00Base pay range: CA$51,383.00/yr - CA$79,261.00/yrWHO WE AREWhen it comes to health, were always looking for ways to push for better. Its why we were founded in 1957 by pharmacist William Wilkinson, who witnessed a mother sacrifice her health to pay for her sick daughters prescription. He introduced North Americas first prepaid drug plan, and GreenShield was born as a notforprofit with a mission to support better health for all Canadians.We arent just a health and benefits company. Were the only nonprofit social enterprise that brings worlds of coverage and care together, all in one place.Were noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.Our mission is to create better health for all Canadians, and we know that starts with our employees.THE ROLE IN A NUTSHELLReporting to the Lead, Patient Support Programs (PSP) & Preferred Pharmacy Network (PPN), the Bilingual PSP Case Manager provides national support to Canadian patients living with chronic or rare conditions by ensuring patients have access to their prescribed treatments in a timely manner and improve their quality of life. The Case Manager provides enrolment and reimbursement assistance, manages financial assistance activities, provides diseasestate education, performs case management and healthcare services to patients, their dependents and the patients direct circle of care for specific prescribed molecules. The Case Manager manages Special/Prior Authorizations at both the private and public payerlevels with submissions pertaining to obtaining drug reimbursement and coverage through private and provincial drug formularies.Primary Duties and Responsibilities:Assist prescribing physicians with the completion of patient enrolments, gathering all pertinent information to complete private and/or provincial insurance formsLiaise with insurance and healthcare providers as well as provincial governments as necessary to determine coverage optionsReview patient charts (paper or electronic)Complete welcome call activities with the patient according to defined program Standards of Practice (SOP)Facilitate any required communication with physicians, patient support programs, or other healthcare professionals in the patients circle of careWork closely with the manufacturers sales resources to support specific physician and staff needsOffer and provide educational training to patients and physicians on specific products administration as aligned to the approved Health Canada product monographAct as a central resource for program stakeholders, which includes but is not limited to physicians, nurses, patients, clinics, pharmacists, lab technicians, etc.Ensure patient records are meticulously maintained and data is accurate in order to meet program reporting requirementsLeverage pharmacovigilance knowledge and identify Adverse Events (AEs) / Product Quality Complaints (PQCs) and report according to predefined Health Canada and manufacturer expectationsUtilize nursing processes, through critical thinking, problem solving and decision making to proactively manage assigned patients who require case management servicesEffectively navigate, teach, counsel, coach, support, direct and advocate as required on specific diseases, therapies and disease managementProvide adherence and persistency case management as required by the programUtilize multiple software applications including CRMParticipate in quality activities and support continuous improvement of programsEnsure compliance with provincial & federal privacy legislationParticipate in ongoing internal and/or external continuing education activitiesAdhere to GreenShield Pharmacys policies, processes and proceduresWHO WE'RE LOOKING FORFully bilingual in French and English (fluently read, write and speak) Strongly preferred.Possess strong clinical expertise and experience in a range of health conditionsA university degree in a healthrelated field5+ years PSP or case management experience ideallyUnderstanding of provincial and private coverage criteria and how to navigate the Canadian drug coverage landscapeFamiliarity with the Special / Prior Authorization process with both public and private insuranceFamiliarity and knowledge of Health Canada pharmacovigilance requirementsProven ability to work effectively as part of an interdisciplinary team and demonstrate competence in performance of case management, providing patient education, virtual assessments / interventions and documentationExcellent organizational, problemsolving, decision making, conflict resolution and critical thinking abilitiesExcellent interpersonal, listening and communication skills (written and verbal), ability to direct conversations and target specific issuesTech savvy with fundamental knowledge of Microsoft Office and other toolsSelfregulation of time management and the ability to multitask and adhere to deadlinesFamiliarity with provincial (e.g., Personal Health Information Protection Act) and federal (e.g., Consumer Privacy Protection Act) privacy lawsLocation & Hours:Hybrid work from home & office; 3 days/week in office in Mississauga. Program hours of operation: 9am to 5pm.THE CULTUREWe believe a career should be meaningful, not just a means to earn a living. Our culture is one where everyone's voice is heard and valued, empowering you to be the best version of yourself. Inclusivity makes us a stronger, smarter and more informed organization. A career at GreenShield isnt just about personal achievements; its about making a difference together. We dare to challenge the status quo and provide a place where you can be inspired, challenged, and rewarded.Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language.GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through . Information received relating to accommodation will be addressed confidentially.Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your rsum will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).Seniority level: AssociateEmployment type: FulltimeJob function: Customer Service and Health Care ProviderIndustries: Nonprofit Organizations and Pharmaceutical Manufacturing #J-18808-Ljbffr