Case Manager

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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 for patients prescribed drugs by physicians • Provide drug coverage support to physicians and patients • Follow up on submissions for coverage through private and provincial drug plans • Ensure timely patient access to prescribed treatments and provide continuous support • Enroll patients promptly 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 to patients and physicians • Collect information and conduct patient financial eligibility assessments • Coordinate and track patient services for continued access to therapy • Report Adverse Events and Severe Adverse Events according to approved SOPs • Maintain case-management service levels and program KPIs • Update patient and clinic information in the CRM tool • Collaborate with internal patient support teams • Liaise with and provide ongoing field feedback to the Program Manager • Identify coverage obstacles and communicate them to the Program Manager and/or Assistant Program Manager • Complete timesheets, expenses, mileage, CRM reports, and other required reports • Perform additional duties as requested by the Manager

🎯 Requirements

• Bachelor’s degree • Bilingualism (English and French) is an asset • Experience with reimbursement billing, special access, appeals processes, and field-based reimbursement support and consultation is an asset • Knowledge of private and public reimbursement structures, systems, and processes is an asset • Must be able to work from home and have a quiet, private home office space • Excellent verbal and written communication skills in English • Strong analytical skills, including interpretation of regulation and legislation • Advanced knowledge of the pharmaceutical distribution industry • 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 • Ability to work Monday–Friday within operating hours of 8:00am–8:00pm EST • No travel required

🏖️ Benefits

• Flexible working environment that promotes a healthy work-life balance • 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