ASSOCIATE ONE POINT PATIENT CARE SPECIALIST - (PHARMACY ASSISTANT TO THE CASE MANAGER) - MISSISSAUGA
Top Benefits
About the role
THE ROLE IN A NUTSHELL
Greenshield Specialty Pharmacy is a specialty pharmacy and healthcare company focused on the handling and service of injectable, infused and biologic medications. We provide high quality service by strategically focusing on chronic autoimmune and neurological conditions, such as rheumatoid arthritis, gastrointestinal diseases, dermatological diseases, stroke rehabilitation, migraines, and multiple sclerosis. An organizational dedication to program innovation and R&D has allowed GreenShield to design and deliver superior healthcare solutions over the years, which has earned them a premium reputation with patients, physicians, and medication manufacturers. GreenShield Specialty Pharmacy truly creates a complete patient experience as it works with patients, physicians, clinics, hospitals, and nursing homes on all aspects of treatment.
We are a premier specialty pharmacy services provider, offering innovative programs, exceptional service, and superior value. For our patients, we are committed to achieving better health.
We are looking for a Full-time Patient Care/ Reimbursement Specialist to join our growing specialized pharmacy operations in Mississauga, ON.
Under the direction of the Biologic Manager, the Patient Care Coordinator is responsible for managing all aspects of onboarding patients for assigned physicians in a given geographical area or hospital. The individual will work directly with the physicians and or the office staff to provide proactive and seamless services with respect to onboarding new patients. This role is performed both in our offices and in the field.
RESPONSIBILITIES
- 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 insure 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 ARE 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)
- 2-3 years’ experience in a Customer Service or Call Centre setting
- Experience with public (provincial and federal) and private third party drug reimbursement plans
- Ability to manage multiple tasks and priorities at once
- 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.
- 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
- Ability to conduct Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
- Hold and maintain a valid, non-expired, unrestricted driver’s license
- Flexible to work longer hours, overtime as required
- Able to work flexible hours between 8:00AM to 8:00PM
Location & Hours:
Location: Hybrid work from home & office; 2 days / week in office in Mississauga
Program Hours of Operation: 9am-5pm M-F
THE CULTURE
We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place 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 are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together.
Here’s to Better Health for All!
A FEW MORE DETAILS
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.
GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through requestforaccommodation@greenshield.ca. Information received relating to accommodation will be addressed confidentially.
Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).
About Green Shield Canada
GreenShield is an integrated health services organization and the first organization in Canada to operate as a payer-provider – offering insurance, administering benefits, and paying claims as a ‘payer’, while offering medical, mental health and pharmacy services as a ‘provider’. This model allows GreenShield to build care around Canadians, simplify their health care experience, and improve health outcomes.
GreenShield is uniquely structured as a not-for-profit social enterprise. We reinvest earnings and redeploys services to underserved Canadian communities via our social impact brand, GreenShield Cares, with a focus on positively impacting at least one million Canadians by 2025. As the industry’s noble challenger GreenShield continues to innovate, evolving its offerings and services to deepen our purpose of championing Better Health for All.
ASSOCIATE ONE POINT PATIENT CARE SPECIALIST - (PHARMACY ASSISTANT TO THE CASE MANAGER) - MISSISSAUGA
Top Benefits
About the role
THE ROLE IN A NUTSHELL
Greenshield Specialty Pharmacy is a specialty pharmacy and healthcare company focused on the handling and service of injectable, infused and biologic medications. We provide high quality service by strategically focusing on chronic autoimmune and neurological conditions, such as rheumatoid arthritis, gastrointestinal diseases, dermatological diseases, stroke rehabilitation, migraines, and multiple sclerosis. An organizational dedication to program innovation and R&D has allowed GreenShield to design and deliver superior healthcare solutions over the years, which has earned them a premium reputation with patients, physicians, and medication manufacturers. GreenShield Specialty Pharmacy truly creates a complete patient experience as it works with patients, physicians, clinics, hospitals, and nursing homes on all aspects of treatment.
We are a premier specialty pharmacy services provider, offering innovative programs, exceptional service, and superior value. For our patients, we are committed to achieving better health.
We are looking for a Full-time Patient Care/ Reimbursement Specialist to join our growing specialized pharmacy operations in Mississauga, ON.
Under the direction of the Biologic Manager, the Patient Care Coordinator is responsible for managing all aspects of onboarding patients for assigned physicians in a given geographical area or hospital. The individual will work directly with the physicians and or the office staff to provide proactive and seamless services with respect to onboarding new patients. This role is performed both in our offices and in the field.
RESPONSIBILITIES
- 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 insure 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 ARE 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)
- 2-3 years’ experience in a Customer Service or Call Centre setting
- Experience with public (provincial and federal) and private third party drug reimbursement plans
- Ability to manage multiple tasks and priorities at once
- 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.
- 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
- Ability to conduct Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
- Hold and maintain a valid, non-expired, unrestricted driver’s license
- Flexible to work longer hours, overtime as required
- Able to work flexible hours between 8:00AM to 8:00PM
Location & Hours:
Location: Hybrid work from home & office; 2 days / week in office in Mississauga
Program Hours of Operation: 9am-5pm M-F
THE CULTURE
We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place 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 are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together.
Here’s to Better Health for All!
A FEW MORE DETAILS
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.
GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through requestforaccommodation@greenshield.ca. Information received relating to accommodation will be addressed confidentially.
Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).
About Green Shield Canada
GreenShield is an integrated health services organization and the first organization in Canada to operate as a payer-provider – offering insurance, administering benefits, and paying claims as a ‘payer’, while offering medical, mental health and pharmacy services as a ‘provider’. This model allows GreenShield to build care around Canadians, simplify their health care experience, and improve health outcomes.
GreenShield is uniquely structured as a not-for-profit social enterprise. We reinvest earnings and redeploys services to underserved Canadian communities via our social impact brand, GreenShield Cares, with a focus on positively impacting at least one million Canadians by 2025. As the industry’s noble challenger GreenShield continues to innovate, evolving its offerings and services to deepen our purpose of championing Better Health for All.