Serves as the primary point of contact for HCP to support navigation of PSP requirements.
Acts as a liaison between PSPs, healthcare providers to relay important updates, requirements, and any changes in the patient support process.
Facilitates the flow of information between all parties involved to streamline the patient support journey.
Develops strong working relationships with physicians and their office staff to ensure smooth maintenance of patients enrolled in the PSPs.
Provides triage support of information on PSPs and facilitates the access to PSP services needed.
Collects necessary patient information and clinical data.
Coordinates private and public reimbursement activity directly with PSPs or with insurers if no PSPs exist.
Assists patient with pharmacy services, when needed.
Monitors patient journey and addresses barriers or delays.
Provides proactive assistance to resolve issues and escalates accordingly.
Develops and maintains a positive relationship with the Program Patient Support team.
Coordinates required medical notes for PSP to complete reimbursement coverage for patient.
Receives and reviews documents from PSPs.
Confirms outcome of reimbursement navigation.
Identifies process improvement to facilitate exchange of information.
Completes all relevant reports (expenses, mileage, reports etc.) as per specified timelines and as per required standards.
Plans travel into Physician's office on an agreed upon schedule.
Attends scheduled Continuous Medical Education events and reports new activities.
Provides in service presentation to KOL physicians.
Fulfill other duties and tasks as assigned, including potential on-call responsibilities.
Requirements
A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years in the healthcare, pharmaceutical or industry or related experience; PSP and case management experience preferred
Asset to have Health Care professional registered within their province (e.g. RN, RPN, Pharmacist, …)
Minimum three (3) years in a clinical setting 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
Normally requires a minimum of five (5) years in public or private third-party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support
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
Proven ability to organize time, set priorities, and multi-task in order to meet various competing work deadlines
Fluency in French and/or English may be required depending on program and geographic location.