Case Manager - West Coast

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Sentrex Health Solutions

WebsiteLinkedInAlle Stellen

501 - 1000 Mitarbeiter

Gegründet 2017

💊 Pharmazie

🤝 B2B

Pharmaceuticals • B2B

Sentrex Health Solutions ist ein kanadisches Unternehmen für Spezialgesundheitsdienste, das mit Pharmaunternehmen, Kliniken und Patienten zusammenarbeitet, um maßgeschneiderte Spezialpflege-Lösungen anzubieten. Sie bieten Spezialapothekenvertrieb und 3PL-Dienstleistungen, Patientenunterstützungsprogramme und speziell entwickelte Technologie, um komplexe Pflege zu vereinfachen und den Zugang der Patienten und die Ergebnisse zu verbessern. Sentrex arbeitet im B2B-Bereich mit Pharma-Partnern und Gesundheitsdienstleistern zusammen und bietet gleichzeitig direkte Patientenunterstützung und klinikorientierte Lösungen an.

Beschreibung

• Responsible for the timely enrollment of the patient into the Patient Support Program. • Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required. • Reviews the patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests. • Provides therapy guidelines/education on the program to manage patient and physician expectations. • Collects information and conducts patient financial assessment eligibility based on program guidelines. • Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy. • Reports Adverse Events/Severe Adverse Events (AE/SAEs) following approved SOPs. • Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported within twenty-four hours of receipt, and any other KPIs established as the Program level. • Electronically updates the Customer Relationship Management (CRM) tool by providing timely patient and clinic information. • Fosters and promotes a spirit of teamwork while working with internal patient support teams. • Acts a liaison and provides ongoing feedback to the Program Manager based-on observations in the field and feedback from customers as it pertains to the quality of services, training, and other areas of importance. • Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Assistant Program Manager. • Additional duties as requested by the Manager.

🎯 Anforderungen

• Post secondary education with experience in healthcare is an asset • 1-2 years of experience in Patient Support Program is an asset • Bilingualism (English and French) is an asset • 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 • 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

🏖️ Vorteile

• Competitive Salary and 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