Bilingual Case Manager

🔥 15 hours ago

🇨🇦 Canada – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💬 Bilingual

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sentrex Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2017

🏥 Healthcare

💊 Pharmaceuticals

🤝 B2B

Healthcare • Pharmaceuticals • B2B

Sentrex Health Solutions is a Canadian specialty healthcare services company that partners with pharmaceutical companies, clinics, and patients to deliver customized specialty care solutions. They provide specialty pharmacy distribution and 3PL services, patient support programs, and purpose-built technology to streamline complex care and improve patient access and outcomes. Sentrex works B2B with pharmaceutical partners and healthcare providers while offering direct patient support and clinic-focused solutions.

📋 Description

• Manage all aspects of patient enrollment, reimbursement processes, and service coordination • Provide drug coverage support to physicians and patients • Follow up on submissions for private and provincial drug plan coverage • Ensure timely access to prescribed treatments • Provide continuous patient support using effective communication and available resources • Enroll patients into the Patient Support Program • Collaborate with patients, insurers, and physicians on documentation for reimbursement coverage • Investigate public and private insurers and support employer escalations • Review patient charts, previous therapies, and tests to assist physicians with coverage documentation • Provide therapy guidelines and program education • Conduct patient financial eligibility assessments • Coordinate and track patient services • Report Adverse Events and Severe Adverse Events according to approved SOPs • Maintain case management service levels and program KPIs • Update the CRM tool with patient and clinic information • Collaborate with internal patient support teams • Liaise with and provide feedback to the Program Manager • Identify coverage obstacles and escalate them to program management • Complete timesheets, expenses, mileage, and CRM reports • Perform additional duties as requested by the Manager

🎯 Requirements

• A Bachelor’s degree • 2-3 years of experience in Patient Support Program • Bilingualism (English and French) is required • Experience with reimbursement billing, special access, the appeals process, and conducting field-based reimbursement support and consultation is an asset • Knowledge of private and public reimbursement structure, systems, and the process is an asset • Experience in oncology, rare disease considered an asset • Advanced knowledge of the pharmaceutical distribution industry • Must be able to work from home and have a quiet, private home office space • Strong analytical skills including interpretation of regulation and legislation • Excellent customer service, problem-solving, and conflict resolution skills • Effective interpersonal skills • Typing skills and ability to be a strong functional user of various computer-based programs • Exceptional organizational skills • Ability to build effective working relationships with colleagues, management, and stakeholders

🏖️ Benefits

• State-of-the-art facilities to provide high-quality products and services • Collaborative, engaging workplace culture • Flexible working environment that promotes a healthy work-life balance • 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