Job Title

Join to apply for the Bilingual Case Manager- Ontario (Remote) role at Sentrex Health SolutionsPosition Type: Full Time Department: Patient Programs Work Location: Canada Work Arrangement: Remote Work Hours: Monday to Friday, 9am-5 pm EST Travel: Up to 30% as requested (Ontario)A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, as well as HCP & Clinic Services.Come and join our team! We love working here because we are 100% Canadian with locations across the country, have state-of-the-art facilities, offer a collaborative culture, promote work-life balance, and provide learning opportunities through our Employee Development Program and in-house training.The OpportunityThe Bilingual Case Manager is responsible for managing all aspects of enrollment, reimbursement process, and service coordination for patients who have been prescribed the drug by physicians. The role provides drug coverage support to physicians and patients, follows up on submissions to obtain coverage through private and provincial drug plans, ensures timely access to prescribed treatments, and offers ongoing patient support through effective communication and available resources.A Day in the Life (What you will do here)Responsible for the timely enrollment of the patient into the Patient Support Program.Collaborate with the patient, insurer and physician regarding the documentation necessary for maximal reimbursement coverage, including investigation of all public and private insurers and supporting employer escalations as required.Review patient status and assist the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.Provide therapy guidelines/education on the program to manage patient and physician expectations.Collect information and conduct patient financial assessment eligibility based on program guidelines.Ensure patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.Report Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.Maintain service levels in case management, including telephone answer rates, time to initial contact with the patient, Adverse Events reported within twenty-four hours of receipt and other KPIs.Electronically update the Customer Relationship Management (CRM) tool with timely patient and clinic information.Foster teamwork by collaborating with internal patient support teams.Act as liaison and provide ongoing feedback to the Program Manager based on field observations and customer feedback regarding quality of services, training, and related areas.Identify obstacles to obtaining coverage and channel this information to the Program Manager and/or Assistant Program Manager.Complete all relevant reports (time sheets, expenses, mileage, validate CRM reports, etc.) within specified timelines and standards.Additional duties as requested by the Manager.What you need to ensure you are set up for successA Bachelors degree2-3 years of experience in Patient Support ProgramsBilingualism (English and French) requiredExperience with reimbursement billing, special access, the appeals process, and field-based reimbursement support is an assetKnowledge of private and public reimbursement structures, systems, and processes is an assetExperience in oncology or rare disease is an assetAdvanced knowledge of the pharmaceutical distribution industryAbility to work from home with a quiet, private home office spaceStrong analytical skills including interpretation of regulation and legislationExcellent customer service, problem-solving, and conflict resolution skillsEffective interpersonal skillsTyping skills and proficiency with computer-based programsValid G license for travel within OntarioWhat makes you a great fit for this teamCommitment to providing a high level of service to internal and external clientsAdaptable with a track record of success during growth and organizational changeProven ability to develop trust and influence at multiple levelsCommunicates effectively with candor and impactExceptional organizational skills and ability to build relationships with colleagues, management, and stakeholdersWhy join Sentrex?Competitive Salary and generous vacation entitlementWellness Program (5 paid days off for well-being)Paid Sick DaysCompetitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life InsuranceEmployee & Family Assistance ProgramRRSP Matching ProgramWe are an equal opportunity employer committed to diversity, inclusion, belonging, equity, and accessibility. We provide a safe space for all team members to express their individuality within our culture.We encourage you to apply and accept all applications, however, only candidates who meet the specified requirements will be contacted for an interview. Accommodations can be made available upon request for candidates participating in the selection process.Seniority levelEntry levelEmployment typeFull-timeJob functionOtherIndustriesHospitals and Health Care #J-18808-Ljbffr