Senior Case Manager

🔥 30 minutes ago

🇨🇦 Canada – Remote

⏰ Full Time

🟠 Senior

👔 Manager

👻 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

• Deliver high-level case management, training, and support services to various programs and departments • 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 patient access to prescribed treatments • Provide ongoing patient support using available resources • Assist with program training needs and develop and maintain training materials • Enroll patients into the Patient Support Program in a timely manner • 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 with patient and clinic information • Provide feedback to the Associate Program Manager on service quality, training, and field observations • Provide backup assistance to PSP Supervisors, Associate Program Managers, and Program Managers • Identify coverage obstacles and recommend corrective actions • Participate in PSP team and client meetings • Complete reports, timesheets, expenses, mileage, and CRM validation • Create work instructions and training documents • Support program pre-launch and post-launch activities • Update training content and facilitate in-person and virtual learning sessions • Manage multiple projects with tight deadlines • Act as a subject matter expert for CRM and case management • Shadow case managers to provide training and support • Provide ad hoc support to programs, teams, and departments • Assist with data cleanup and other duties requested by PSP Management

🎯 Requirements

• Bachelor’s Degree or College Diploma in a relevant field of study • 2-5 years of experience in Patient Support Programs with advanced knowledge of Case Management and the pharmaceutical distribution industry • Advanced knowledge of reimbursement billing, special access, the appeals process, and field-based reimbursement support and consultation • Must be able to work from home and have a quiet, private home office space • Excellent verbal and written communication skills in English • Knowledge of private and public reimbursement structures, systems, and processes • Strong analytical skills, including interpretation of regulation and legislation • Excellent customer service, problem-solving, and conflict resolution skills • Strong interpersonal skills • Strong functional use of various computer-based programs • Proficiency in Adobe Acrobat, SharePoint, and Microsoft Office applications • Strong ability to consistently meet deadlines and prioritize projects • Exceptional organizational skills • Ability to establish and build healthy working relationships and partnerships with peers • Ability to work independently, make decisions, multitask, and solve problems under a high degree of pressure • Flexible, resourceful, creative, and proactive work style • Results-oriented with ability to handle multiple tasks and maintain high performance • Advanced ability to learn and understand new systems and software quickly • Excellent problem-solving skills • Bilingualism (English and French) will be considered a strong asset

🏖️ Benefits

• State-of-the-art facilities to provide high-quality products and services • 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 • Remote work arrangement