Bilingual Patient Care Navigator – Fixed-Term
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Job Description
Bilingual Patient Care Navigator coordinating enrollment, reimbursement, and therapy access for Canadian pharmaceutical patient support programs. Supporting patients, physicians, insurers, and pharmacies remotely.
Responsibilities:
- Act as the primary point of contact for patient-related elements of the Patient Support Program
- Enroll patients into the Patient Support Program in a timely manner
- Provide inbound and outbound telephone support, including maintenance and adherence calls
- Collaborate with patients, insurers, and physicians regarding documentation for maximum 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
- Liaise with physicians' offices, pharmacies, infusion/injection service providers, and other parties to coordinate services
- Track patient services to support quick and continued therapy access
- Review, analyze, and validate patient information for accuracy and completeness
- Maintain case-management service levels and program KPIs
- Maintain accurate patient and clinic information in the CRM system
- Foster teamwork with internal patient support teams
- Identify coverage obstacles and escalate information to the PSP Supervisor
- Follow up and advocate until coverage decisions are received
- Maintain confidentiality of patient, client, and corporate information
- Perform additional duties as requested by the Manager
Requirements:
- Post-secondary education; experience in healthcare is an asset
- Bilingualism (English and French) is required
- Experience with reimbursement billing, special access, appeals process, and support/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
- 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
- Exceptional organizational skills and ability to build effective working relationships
- Commitment to high service levels
- Adaptability and a track record of success during growth and organizational change
- Proven ability to develop trust and influence at multiple levels
- Impactful and candid communication style
Benefits:
- State-of-the-art facilities to provide high-quality products and services
- Opportunity to be part of a winning, high-performing team
- Collaborative, engaging workplace culture
- Flexible working environment promoting a healthy work-life balance
- Diverse and inclusive culture
- Opportunities for learning and growth supported by the Employee Development Program
- Industry-leading, in-house corporate training offered 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 & Employee/Dependent Life Insurance
- Employee & Family Assistance Program
- RRSP Matching Program
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