Senior Patient Care Navigator – Fixed Term, 18 Months

🔥 19 hours ago

🇨🇦 Canada – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

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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

• Navigate the Canadian reimbursement landscape to secure coverage with public and private payers • Lead appeal writing in collaboration with the designated PSP point of contact • Develop, implement, and support reimbursement updates, training, best-practice sharing, strategies, training, and products • Initiate cases with insurance companies and healthcare professionals to maximize reimbursement solutions • Respond efficiently and courteously to calls, emails, and voicemails • Set and process tasks on time to ensure optimal patient and physician experiences • Enroll patients into the Patient Support Program • Coordinate and track patient services for timely and continued therapy access • Update the CRM electronically and provide proactive updates to patients and clinics • Report Adverse Events and Severe Adverse Events according to SOP guidelines • Maintain required service levels for clients, projects, and initiatives • Collaborate with internal business units and provide feedback to the Manager • Complete billing, timesheets, expenses, mileage, and CRM reports within required timelines • Build organizational relationships and manage special projects • Maintain professionalism and strict confidentiality • Perform other duties assigned by the manager

🎯 Requirements

• Previous appeal writing experience with a proven track record of successful outcomes • Previous specialty pharmacy experience considered a strong asset • Prior Gastroenterology and/or Dermatology experience considered a strong asset • Experience working directly with Physicians and HCPs with comprehensive understanding of patient flow required • Previous Patient Support Programs experience preferred • Proficiency in Microsoft Office suite and phone systems • Experience working with databases, including ERP/CRM • Extensive computer and software skills • Strong organizational skills and ability to handle changing priorities independently • Accurate data entry into paper and electronic forms • Self-directed and able to work independently with minimal supervision • Knowledge of private and public reimbursement structures, systems, and navigation processes required • Ability 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 regulation and legislation • Knowledge of the pharmaceutical distribution industry required • Interpersonal, customer service, problem-solving, and conflict resolution skills • Commitment to confidentiality and discretion

🏖️ Benefits

• 100% Canadian company with locations across the country • State-of-the-art facilities • Collaborative, engaging workplace culture • Flexible working environment promoting work-life balance • Diverse and inclusive culture • Employee Development Program • Industry-leading, in-house corporate training throughout the year • Competitive Salary • Generous vacation entitlement • Wellness Program with 5 paid days off for well-being • Paid Sick Days • Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD, and Employee/Dependent Life Insurance • RRSP Matching Program • Employee & Family Assistance Program

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