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Sentrex Health Solutions

Senior Bilingual Case Manager – 18 month contract

Sentrex Health Solutions

. Responsible for the timely enrollment of the patient into the Patient Support Program.

Posted 5/16/2026full-timeRemote • 🇨🇦 CanadaSeniorWebsite

About the role

Key responsibilities & impact
  • 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 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 initial 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 Associate Program Manager based-on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
  • Provides back-up assistance to PSP Supervisors, Associate Program Managers and Programs Managers when required.
  • Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Associate Program Manager.
  • Recommends corrective actions to ensure deliverables are met.
  • Collaborates and participates in PSP team and client meetings as necessary.
  • Ensures access to therapy has been expedited determined by effective coordination and tracking, according to Program KPIs.
  • Completes all relevant reports (time sheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards.
  • Responsible for the creation of work-instructions and training documents as required by the program.
  • Aids 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 while using a variety of methods.
  • Manage multiple projects with tight deadlines while providing valuable input to enhance and customize processes that exceed operational needs.
  • Be a subject matter expert as it relates to the CRM and Case Management for Patient Programs at Sentrex Health Solutions.
  • Shadowing of case managers to provide training and support as needed.
  • Provide ad-hoc support to multiple programs, teams, and departments.
  • Assists with data clean-up as required.
  • Provide additional support with other duties or projects as requested by PSP Management.

Requirements

What you’ll need
  • A Bachelor’s Degree or College Diploma in a relevant field of study.
  • Bilingualism (English and French) will be required
  • 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, the appeals process, and conducting field-based reimbursement support and consultation is required.
  • 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 structure, systems, and the process is required.
  • 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
  • Proficiency in Adobe Acrobat, SharePoint, and Microsoft Office applications is required.
  • Strong ability to consistently meet deadlines and prioritize projects.
  • Exceptional organizational skills and ability to activities both for self and others effectively.
  • 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 with an enthusiastic attitude.
  • Results-oriented with an ability to handle multiple tasks and maintain a high level of performance.
  • Advanced ability to learn and understand new systems and software quickly.
  • Excellent problem-solving skills: ability to resolve issues effectively and efficiently.

Benefits

Comp & perks
  • 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

ATS Keywords

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Hard Skills & Tools
Case ManagementReimbursement billingPatient financial assessmentData clean-upTraining content developmentProject managementField-based reimbursement supportDocumentation preparationAdverse Events reportingContinuous learning
Soft Skills
Excellent verbal communicationExcellent written communicationCustomer serviceProblem-solvingConflict resolutionInterpersonal skillsOrganizational skillsAbility to multitaskDecision-makingTeamwork