Patient Care Navigator- Eastern Canada (Remote)

Sentrex Health Solutions Inc.; Canada; Hybrid; CAD 65,000 - 80,000; Full time

Benefits offered by this job

Wellness Program

Paid Sick Days

Dental & Extended Health Benefits

AD&D, LTD & Life Insurance

Employee & Family Assistance Program

RRSP Matching Program

Vacation entitlement

Job summary

Sentrex Health Solutions Inc. is seeking a Patient Care Navigator for Eastern Canada to coordinate enrollment and reimbursement for patients in the PSP. This remote role supports physicians, clinics, and patients in securing timely access to prescribed therapies.

You will work with insurers, manage case documentation, and guide patients through coverage processes while maintaining high service levels and confidentiality.

Qualifications

• Post-secondary education in healthcare; asset.
• Bilingualism in English and French is an asset; essential in Quebec.
• Experience with reimbursement processes and patient support is a plus.

Responsibilities

• Act as the primary point of contact for all patient related elements of the PSP.
• Responsible for the timely enrollment of the patient into the Patient Support Program.
• Telephone support and adherence calls as needed.
• Collaborate with insurer, physician for documentation and coverage.
• Review patient status and assist with documentation for public/private coverage.
• Provide therapy guidelines/education on the program to manage expectations.
• Collect information and assess eligibility based on guidelines.
• Coordinate with physicians, pharmacies, and service providers.

Skills

Healthcare knowledge

Communication

Bilingual English/French

CRM experience

Remote work discipline

Education

Post-secondary education in healthcare

Tools

CRM software

Office suite

Reimbursement platforms

Job description

Patient Care Navigator- Eastern Canada (Remote)

Job Category: Patient Support Programs

Requisition Number: PATIE003167

Description

Position Type: Full Time

Work Location: Canada

Work Arrangement: Remote

Work Hours: Standard Office Hours, Monday to Friday 8:00 am - 4:00 pm or 9:00 am - 5:00 pm (EST)

Travel Required: No

A proudly Canadian company, Sentrex Health Solutions is 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. We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology, a dedicated in-house creative agency, and experienced, cross-functional teams. Our core capabilities includeSpecialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, Strategic Creative Services as well as HCP & Clinic Services.

Come and join our team! But first, let us tell you why we love working here:

• We are 100% Canadian with locations across the country
• State-of-the-art facilities to provide high-quality products and services
• The opportunity to be a part of a winning, high-performing team
• Collaborative, engaging workplace culture – we are passionate about our people!
• Flexible working environment that promotes a healthy work-life balance
• Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued
• High-growth environment that provides opportunities for learning and growth supported by our Employee Development Program and industry-leading, in-house corporate training offered throughout the year

The Opportunity:

The Care Navigatoris responsible formanaging all the aspects of the enrollment, reimbursement process, and service coordination for patients enrolled into the Patient Support Program (PSP). The Care Navigator willassistphysicians/clinics and patients with drug coverage, oversee submissions to private and provincial drug plans, ensuretimelyaccess to prescribed therapies, and provide continuous patient support usingstrong communicationand available resources.

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

• Act as the primary point of contact for all patient related elements of the PSP.
• Responsible for the timely enrollment of the patient into the Patient Support Program.
• Telephone support (including maintenance calls and adherence support both inbound and outbound as needed).
• 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.
• Review the patient status and assist the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
• Provide therapy guidelines/education on the program to manage patient and physician expectations.
• Collect information and conduct patient financial assessment eligibility based on program guidelines.
• Liaise with physicians' offices, pharmacies, infusion/injection service providers, and other parties to provide comprehensive and coordinated service to patients and physicians and resolve issues as they arise.
• Ensure patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
• Review, analyze, and validate information provided by patients for accuracy and completeness to ensure initiation and continuation of services.
• Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported as per SOPs, and any other KPIs established at the program level.
• Maintain accurate and timely patient/clinic information within the Customer Relationship Management (CRM) system.
• Foster and promote a spirit of teamwork while working with internal patient support teams. Identify obstacles to obtaining coverage and channel this information to the PSP Supervisor.
• Follow up/advocate until a decision is received, ideally securing coverage for the patient.
• Maintain confidentiality of patient, client, and corporate information and discuss same only with appropriate personnel.
• Additional duties as requested by the Manager.

What you need to ensure you are set up for success:

• Post-secondary education with experience in healthcare is an asset.
• Bilingualism (English and French) is an asset.
• Bilingualism is required in the province of Quebec.
• Experience with reimbursement billing, special access, the appeals process, and providing support and 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.

What makes you a great fit for this team:

• Your commitment to providing a high level of service to your internal and external clients.
• You are highly adaptable with a track record of success during times of growth and organizational change.
• You have a proven track record of developing trust and influence at multiple levels.
• You demonstrate an impactful and candid communication style.
• You have exceptional organizational skills with the ability to build effective working relationships with colleagues, management, and stakeholders.

We value our employees! Our permanent full-time employees are provided with a:

• 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

Sentrex Health Solutions is proud to be an equal opportunity employer demonstrated by our commitment to diversity, inclusion, belonging, equity, and accessibility. We provide a safe space for all team members to express their individuality within our corporate culture.

We encourage you to apply and accept all applications. We realize that not every candidate will meet every single desired qualification. If your experience looks a little different from what we have identified and you think you can bring value to the role, we would love to learn more about you!

Accommodations can be made available upon request for those candidates taking part in the selection process.

Sentrex hiring managers may use artificial intelligence tools to assist them in the recruitment process.