[Hiring] Senior Case Manager @Sentrex Health Solutions

Role Description

The Senior Case Manager is responsible for delivering high-level case management, training, and support services to a variety of programs and departments at Sentrex Health Solutions.

• Manage all aspects of the enrollment, reimbursement process, and service coordination for patients prescribed the drug by health care practitioners.
• Provide drug coverage support to physicians and patients.
• Follow up on submissions for coverage through private and provincial drug plans.
• Ensure timely access to prescribed treatments for patients.
• Assist with program training needs and help develop and maintain required training.

A Day in the Life (What you will do here)

• Responsible for timely enrollment of patients into the Patient Support Program.
• Collaborate with patients, insurers, and physicians regarding necessary documentation for maximal reimbursement coverage.
• Review patient status and assist prescribing physicians in preparing documentation for coverage.
• Provide therapy guidelines/education to manage patient and physician expectations.
• Conduct patient financial assessment eligibility based on program guidelines.
• Coordinate and track patient services for quick access to therapy.
• Report Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
• Maintain service levels in case management, including telephone answer rates and time to initial contact.
• Electronically update the Customer Relationship Management (CRM) tool with timely patient and clinic information.
• Foster teamwork while working with internal patient support teams.
• Act as a liaison and provide feedback to the Associate Program Manager.
• Provide backup assistance to PSP Supervisors and Program Managers when required.
• Identify obstacles to obtaining coverage and communicate to the Program Manager.
• Recommend corrective actions to ensure deliverables are met.
• Participate in PSP team and client meetings as necessary.
• Ensure expedited access to therapy through effective coordination and tracking.
• Complete all relevant reports as per specified timelines and standards.
• Create work instructions and training documents as required.
• Aid with program pre and post launch activities.
• Update and revise training content based on ongoing business needs.
• Deliver training content and facilitate learning sessions in person and virtually.
• Manage multiple projects with tight deadlines while enhancing processes.
• Be a subject matter expert in CRM and Case Management for Patient Programs.
• Shadow case managers to provide training and support as needed.
• Provide ad-hoc support to multiple programs, teams, and departments.
• Assist with data clean-up as required.
• Provide additional support with other duties or projects as requested by PSP Management.

Qualifications

• 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.
• Demonstrates an aptitude for continuous learning.
• Advanced knowledge of reimbursement billing, special access, and the appeals process.
• Excellent verbal and written communication skills in English.
• Knowledge of private and public reimbursement structure 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 user of various computer-based programs.
• Bilingualism (English and French) will be considered a strong asset.
• 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.
• Ability to work independently and multitask under pressure.
• Flexible, resourceful, creative, and proactive work style.
• Results-oriented with the ability to handle multiple tasks.
• Advanced ability to learn and understand new systems quickly.
• Excellent problem-solving skills.

Benefits

• 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.

Company Description

Sentrex Health Solutions is a proudly Canadian company and a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes.

• Specialty Pharmacy Services.
• Customized Solutions for Warehouse, Wholesale & Distribution.
• Patient Support Programs.
• Strategic Creative Services.
• HCP & Clinic Services.