Case Manager

🕒 July 31

🇨🇦 Canada – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🚫👨‍🎓 No degree required

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Logo of Sentrex Health Solutions

Sentrex Health Solutions

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 patient enrollment, reimbursement processes, and service coordination • Provide drug coverage support to physicians and patients • Follow up on private and provincial drug-plan coverage submissions • Ensure timely access to prescribed treatments • Collaborate with patients, insurers, physicians, and employers on reimbursement documentation • Investigate public and private insurers and support employer escalations • Review patient charts, previous therapies, and tests to support 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 established KPIs • Update patient and clinic information in the CRM system • Collaborate with internal patient support teams • Provide feedback to the Program Manager on service quality, training, and customer feedback • Identify coverage obstacles and escalate them to the Program Manager or Assistant Program Manager • Complete timesheets, expenses, mileage, CRM reports, and other required reports • Perform additional duties as requested by the Manager

🎯 Requirements

• Post-secondary education • Minimum of 2 years of experience in health care • 1–2 years of experience in Patient Support Programs is an asset • Experience with reimbursement billing, special access, appeals process, and field-based reimbursement support and consultation is an asset • Knowledge of private and public reimbursement structures, systems, and processes is an asset • Oncology experience is an asset • Must be able to work from home with a quiet, private home office space • Excellent verbal and written communication skills in English • Strong analytical skills, including interpretation of regulations 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 to Friday between 8:00am and 8:00pm EST on rotating 8-hour shifts

🏖️ Benefits

• State-of-the-art facilities • Collaborative, engaging workplace culture • Flexible working environment promoting work-life balance • Employee Development Program • Industry-leading in-house corporate training throughout the year • Competitive salary • Generous vacation entitlement • Wellness Program with 5 paid days off • Paid sick days • Dental and extended health benefits • AD&D, LTD, and employee/dependent life insurance • Employee & Family Assistance Program • RRSP Matching Program

Apply Now

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