ASSOCIATE ONE POINT PATIENT CARE SPECIALIST

GreenShield; Canada; Ibrido; CAD 44.000 - 69.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health and dental coverage

Retirement savings

Paid time off

Mental health support

Descrizione del lavoro

GreenShield is a proudly Canadian, national non-profit health care and insurance organization seeking a Patient Care Specialist. You will act as a primary liaison between physicians, patients and the internal team to coordinate enrollment and ongoing therapy support.

You will manage patient starts, handle enrollment and documentation, and help patients navigate public and private reimbursement programs with a focus on accuracy and timely communication.

Competenze

• Experience in healthcare or pharma with direct patient interaction.
• Familiar with public and private drug reimbursement plans.
• Experience in customer service or call centre settings.
• Strong communication, written and verbal, with patients and professionals.
• Proficient with MS Office and CRM databases.
• Ability to work in a fast-paced, collaborative team environment.
• Detail-oriented with sound judgement and compliance awareness.

Mansioni

• Serve as single point of contact with physicians for program coordination.
• Collaborate with pharmacy team to support patient care.
• Provide updates to physicians on patient status and follow-ups.
• Accurately chart patient information in the CRM system.
• Resolve client issues regarding physician assignments and enrollment.
• Manage patient starts from enrollment to therapy onset.
• Coordinate patient welcomes, program introductions, and consent.
• Explain program offerings including case management and reimbursement support.
• Understand reimbursement mechanisms in public and private sectors.

Conoscenze

Healthcare experience

Patient communication

Public drug reimbursement knowledge

Call centre experience

CRM software

MS Office

Team collaboration

Attention to detail

Formazione

College Diploma or University degree

Strumenti

MS Office

CRM system

Descrizione del lavoro

WHO WE ARE

GreenShieldis a proudly Canadian, national non-profit health care and insuranceorganization, driven by our mission of Better Health for All.We believe health care is aright, not a privilege, and we are committed to improving health outcomes,advancing health equity, and building a future where every Canadian can reachtheir full health and well-being potential.

Throughour unique integrated payer-provider ("payvider") model, we offerinsurance, administer benefits, and pay claims as a ‘payer’ while offeringhealth care services such as mental health, pharmacy, telemedicine, and chronicdisease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excessearnings to directly support underserved communities. Through GreenShieldCares, we positively impacted the health and well-being of over one millionCanadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additionalthree million Canadians by 2030 – across mental health, essential medicines,and chronic disease management – through scalable initiatives that delivermeaningful change in pursuit of our mission of Better Health for All.

AtGreenShield, our culture is where purpose meets passion and performance. Our teams work as one to delivermeaningful, measurable impact for the people and communities we serve.

THEROLE IN A NUTSHELL

• Be the single point of contact with physician(s)
• Communicate within the pharmacy team to assist with patient care
• Provide ongoing updates to MDs on patient status
• Follow up with MD to ensure patient status updates are shared
• Accurate and timely patient charting in CRM
• Proactively provides assistance to resolve client issues with regards to assigned physicians
• Manage all patient starts from time of enrollment to start of therapy.
• Single point of contact for patients enrolled in the support program and prescribing physician, if applicable
• Conducts welcome calls to gather relevant information, introduces patients to the support program, and obtains patient consent as required.
• Informs the patient about all program offerings – for example case management support, reimbursement support, self-injection training, prescription coordination and ongoing compliance
• Understands the molecule(s) in full detail
• Maintains an expert level of knowledge of reimbursement mechanisms in the public and private arenas, specifically within assigned territory
• Acts as a patient advocate, exploring all options for funding of medications, determines coverage details and develops/maintains complete and accurate documentation required to facilitate a successful outcome of the reimbursement process
• Administers financial means tests and manages all aspects of financial assistance within the program as applicable
• Ensures coordination of program services to patients in an effective manner resulting in prompt and continued access to therapy; including self-injection training
• Works collaboratively with Program Management, other Patient Care Specialists, and Field Case Manager/Case Manager (program dependent) to address patients concerns or needs and escalations interrupting the patient journey
• Contact clients periodically to confirm adherence and coordinate delivery of medications (including date, time)
• Report all adverse Events (AE) and Product Technical complaints (PTC) immediately or as soon as possible upon becoming aware of the event as per current policies and procedures

WHO WE'RE LOOKING FOR

• College Diploma or University degree is required
• 2-3 years’ experience in the healthcare or pharmaceutical industry, preferably working with directly with patients and with other health professionals (i.e. physicians, nurses, pharmacists)
• Experience with public (provincial and federal) and private third party drug reimbursement plans
• 2-3 years’ experience in a Customer Service or Call Centre setting
• Strong Computer skills in a Windows environment using MS Office and experience using a customer relationship database is an asset
• Demonstrated ability to work successfully within a fast paced, team based environment
• Excellent communication skills, written and verbal, to interact effectively with patients and clients
• Demonstrated ability to analyze and interpret information, data, and regulations.
• Demonstrated ability to pay attention to details and make decisions using sound judgement.
• Flexible to work longer hours, overtime as required
• Able to work flexible hours between 8:00AM to 8:00PM
• Superior customer service skills
• Demonstrated teamwork abilities
• Ability to manage multiple tasks and priorities at once
• Comprehension of medical terminology, Ability to read and interpret patient charts
• Strong analytical skills including interpretation of regulation and legislation.
• Ability to make decisions using sound judgment
• Ability to work autonomously
• Strong organizational skills, creative problem solving and results oriented.
• Strong time and project management skills and sense of urgency
• Ability to analyze current enrollment volume by MD
• Ability to analyze enrollment potential based on prescription volume of other biologics
• Ability to engage with a physician and his/her staff as a trusted and well-informed medical counterpart
• Must have a valid driver’s license and possess a car
• Ability to conduct Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
• Can interact with multiple sales reps and district managers from the commercial team
• Superior verbal and written communication skills, interpersonal skills and
• Attention to detail.
• Ability to speak multiple languages an asset
• Established relationships with Customers in a given territory, an asset
• Knowledge of public, private and federal reimbursement an asset
• Hold and maintain a valid, non-expired, unrestricted driver’s license

WHAT WE OFFER

Base Salary: CAD $43,721.00 - 68,706.00

Offer positioning: Determined using relevant experience, skills, internal equity and current market data.
Total rewards: Health and dental coverage, retirement savings, paid time off and well-being support (up to $10,000 per year for mental health).
Work model:Hybrid

THE CULTURE

We believe a career should be meaningful. Not just ameans to earn a living. Our culture is one where everyone's voice is heard andvalued. Because that’s what it takesto create better health for all. We dare to challenge the status quo. And we’redriven by people who have challenged theirs. We believe that yourworkplace should empower you to be the best version of yourself. That’s why we provide aplace where you can be inspired, challenged, and rewarded.
Where your growth means our growth.
Where your voice is heard and valued.
Where your work has purpose. And purpose matters.
We believe our people arecritical to our overall success. Inclusivity makes us a stronger, smarter andmore informed organization. Being intentionally inclusive of diversebackgrounds, perspectives and experiences will enhance our company culture topositively impact how we support our communities. A career at GreenShield isn’t just about personalachievements, it's about making adifference together.
Here’s to Better Health for All!

AFEW MORE DETAILS

Proficiency in English is requiredfor this position. As part of this role, you will be required to communicatewith colleagues or customers who use English as their primary language. By requiring English proficiency for thisposition, we aim to ensure that our employees can excel in their roles,collaborate, and communicate effectively, and contribute to the success of ourorganization.

GS supports diversity, equity andinclusion in our teams and communities, and we value the unique contributionsmade by all. Even if your experience doesn’t align perfectly to everyrequirement, we invite you to apply. We encourage applications fromall candidates and will accommodate needs under human rights legislationthroughout all stages of the recruitment and selection process. Please let usknow of any accommodation through [e-mail]. Information received relating toaccommodation will be addressed confidentially.

Providing this information givesGS consent to use your personal information to assess your suitability forspecific positions, future opportunities or for your personnel file. Yourrésumé will be held in strict confidence and will be viewed only by theOrganization. Information may be stored outside of Canada and could be used foraggregate statistical purposes (which uses no personal identification).

AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.