Key skills
CommunicationSales
About this role
Role Overview
- Customize program elements to meet the needs of assigned prescribing physicians
- Review patient status and assist the prescribing physician to complete patient enrolment
- Prepare payer forms to access public or private coverage by reviewing patient charts
- Identify obstacles to obtaining coverage and channel this information to the Program Manager
- Develop strong working relationships with physicians and physician office staff
- Proactively provide assistance to resolve issues with regards to assigned physicians
- Provide training to physicians and clinics on program and new initiatives approved by the manufacturer
- Acts as a liaison and provide ongoing feedback to the Program Manager
- Complete all relevant reports as per specified timelines and as per required standards
- Welcome each patient to the program and capture required patient information
- Provide reimbursement payer guidelines to patients and physicians
- Ensure patient services are coordinated and tracked, according to KPI’s
- Coordinate private and public coverage activity between patient, physician and insurers
- Confirm outcome of reimbursement navigation with the patient
- Provide information and navigate patient through financial assistance
- Assist patient with pharmacy selection and coordinate drug delivery
- Assist patient with coordination of therapy and ongoing therapy status
- Report Adverse Events / Severe Adverse Events following program Standard Operating Procedures
- Assist in training and development of new FCM as needed
- Support and assist peers through regular and ongoing communication
- Develop and maintain a positive relationship with the Patient Support Program team
Requirements
- A Bachelor’s degree in health care or a related discipline, or a nurse diploma
- Requires a minimum five (5) years in the healthcare, pharmaceutical or insurance industry or related experience
- Licensed Nurse (RN or RPN/LPN) with active registration from the College of Nurses in the province of employment is required
- Case management experience preferred; minimum three (3) years nursing experience in a clinic setting is an asset
- Available to travel within an assigned territory; some overnight travel may be required
- Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
- Experience and background in various therapeutic areas is an asset
- Background in business administration (pharmaceutical) sales and marketing an asset
- Knowledge of private and public reimbursement structure, systems, and process
- Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
- Strong analytical skills including interpretation of regulation and legislation
- Fluency in French and/or English may be required depending on program and geographic location.
Benefits
- medical, dental, and vision care
- backup dependent care
- adoption assistance
- infertility coverage
- family building support
- behavioral health solutions
- paid parental leave
- paid caregiver leave
- various training programs
- professional development resources
- mentorship programs
- employee resource groups
- volunteer activities