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Caseworker - Bilingual

🇨🇦 Canada

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Caseworker - Bilingual

from 🇨🇦 Canada

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

Ce rôle soutient les services de soutien aux patients et aux prestataires ainsi que les services de commercialisation pharmaceutique de Cencora au Canada, offerts par l’entremise de notre division Innomar Strategies.

This role is in support of Cencora’s patient and provider support and pharma commercialization services in Canada marketed through our Innomar Strategies business.

Responsabilités:

  • Travailler en Ă©troite collaboration avec les patients assignĂ©s afin d’identifier diverses options de couverture de remboursement et d’explorer des solutions financières pour ceux n’ayant pas d’assurance.

  • Contribuer au coaching et au mentorat des membres actuels de l’équipe.

  • GĂ©rer un portefeuille de patients plus important que celui des autres gestionnaires de cas.

  • Agir en tant qu’expert en remboursement pour le territoire de cas attribuĂ©.

  • Fournir un soutien aux autres gestionnaires de cas pour les dossiers complexes liĂ©s au remboursement, aux assurances, Ă  la vĂ©rification des prestations, aux autorisations spĂ©ciales et aux demandes d’appel.

  • Participer Ă  des projets spĂ©ciaux assignĂ©s par le/la gestionnaire de programme.

  • Offrir un soutien quotidien aux gestionnaires de programme adjoints.

  • Aider la direction dans la prĂ©paration de divers rapports et tâches liĂ©es aux programmes.

  • Collaborer avec la direction pour dĂ©velopper les protocoles de programme et les procĂ©dures opĂ©rationnelles normalisĂ©es (SOP) pour le rĂ´le de gestionnaire de cas.

  • Avec la direction, encadrer la formation des nouveaux gestionnaires de cas, y compris l’observation (shadowing) et l’écoute d’appels.

  • Interagir rĂ©gulièrement avec les compagnies d’assurance, les cabinets mĂ©dicaux et les professionnels de la santĂ© afin d’offrir un soutien optimal en matière de remboursement.

  • Aider les patients dans le choix des cliniques et des pharmacies et planifier leurs rendez-vous.

  • GĂ©nĂ©rer les commandes de mĂ©dicaments en s’assurant que les informations requises sont transmises Ă  la pharmacie et aux parties concernĂ©es.

  • Respecter les processus gĂ©nĂ©raux de l’entreprise.

  • Soutien tĂ©lĂ©phonique:Mettre en Ĺ“uvre des programmes de centre d’appels incluant un soutien tĂ©lĂ©phonique aux patients, aux professionnels de la santĂ© et aux organismes de financement, notamment pour :

    • Les enjeux de financement et d’accès, incluant les programmes privĂ©s, publics et d’accès spĂ©cial ;

    • Les programmes d’observance thĂ©rapeutique.

  • Administrer et respecter les protocoles de gestion de cas, incluant :

    • Le suivi clinique

    • La collecte de donnĂ©es

    • Le suivi continu des patients

    • L’observance thĂ©rapeutique

    • Le suivi des interruptions ou cessations de traitement

    • La dĂ©claration des Ă©vĂ©nements indĂ©sirables

    • La liaison avec les professionnels de la santĂ© primaires

  • Mettre en Ĺ“uvre des initiatives d’études de marchĂ© liĂ©es aux secteurs pharmaceutique et biotechnologique auprès des mĂ©decins, patients, pharmaciens et autres professionnels de la santĂ©.

  • Effectuer un volume important d’appels sortants dans le cadre des programmes patients basĂ©s sur des mĂ©thodes de gestion de cas.

  • Documenter chaque activitĂ© dans la base de donnĂ©es spĂ©cifique au programme.

  • Participer Ă  des formations continues de mise Ă  niveau ainsi qu’à des formations spĂ©cialisĂ©es sur des produits ou programmes spĂ©cifiques, selon les besoins identifiĂ©s par le gestionnaire.

  • Assurer une communication claire avec le gestionnaire, l’équipe (pod) et les collègues formĂ©s au programme concernant la gestion des dossiers lors d’absences prĂ©vues.

  • Responsable de signaler tous les Ă©vĂ©nements indĂ©sirables aux unitĂ©s/dĂ©partements assignĂ©s.

  • Le/la gestionnaire de cas principal(e) peut Ă©galement se voir confier d’autres tâches et responsabilitĂ©s au besoin.

Responsibilities:

  • Working closely with assigned patients’ to identify various reimbursement coverage options and investigate financial options for those without insurance.

  • Assist with the coaching and mentoring of existing team members.

  • Manage a patient caseload larger than their caseworker counterparts.

  • Be a reimbursement expert in assigned caseload territory.

  • Provides other caseworker(s) assistance with complex reimbursement, insurance, benefit investigation, special authorization, and appeal requests.

  • Participate in special projects as assigned by the Program Manager.

  • Provide daily support to Associate Program Manager(s)

  • Assist management with various reports and program related tasks.

  • Work with management to develop program protocol and SOP for Caseworker role.

  • With management, lead training of new caseworkers, including but not limited to shadowing & call monitoring.

  • Regularly Interacts with insurance companies, physician' offices, and healthcare professionals to provide optimal reimbursement support

  • Assists the patient with Clinic and Pharmacy selections, and schedules patient appointments

  • Generates drug orders ensuring that required information is faxed to the pharmacy, and related parties

  • Adherence to the general company processes.

  • Telephone Support : Implementing call-centre programs including the provision of patient, healthcare professional and funding bodies with telephone support. Current assistance lines focus on:

  • Funding and access issues, including private, public and special access programs;

  • Compliance programs

  • Administer and adhere to case-management protocols, including clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers;

  • Implementing pharmaceutical and biotechnology related market research initiatives with physicians, patients, pharmacists or other allied health professionals;

  • All patient programs are based on casework methods and include a significant amount of out-bound calls.

  • Document each activity in program specific database.

  • Participate and attend on-going refresher training and in specialized training courses for specific products or programs as deemed appropriate by the manager.

  • Clear communication to manager, pod, and program trained colleagues regarding the management of cases during foreseen absences.

  • Responsible to report all Adverse Events to the assigned units/departments

  • The Senior Caseworker will also be assigned other duties and tasks as required from time to time.

Expérience :

  • Minimum de deux (2) ans d’expĂ©rience en service Ă  la clientèle; une expĂ©rience dans les domaines mĂ©dical, pharmaceutique et/ou des assurances est un atout

  • Bilinguisme (français et anglais) Ă  l’oral et Ă  l’écrit, un atout

  • Excellente capacitĂ© d’organisation et grand souci du dĂ©tail

  • MaĂ®trise des applications Microsoft (Outlook, Word, Excel et PowerPoint)

  • FlexibilitĂ© pour travailler selon des horaires variables (heures d’ouverture de 8 h Ă  20 h)

  • CapacitĂ© Ă  faire preuve d’esprit critique afin de rĂ©soudre des problèmes

  • Minimum de 2 ans d’expĂ©rience au sein d’un programme de soutien aux patients

  • ExpĂ©rience dans un environnement de centre d’appels, un atout

  • Excellentes compĂ©tences en communication et en relations interpersonnelles, Ă  l’oral et Ă  l’écrit, incluant une bonne Ă©tiquette tĂ©lĂ©phonique avec divers interlocuteurs (interne, professionnels de la santĂ© et patients)

  • CapacitĂ© dĂ©montrĂ©e Ă  gĂ©rer son temps, Ă©tablir des prioritĂ©s et effectuer plusieurs tâches afin de respecter des Ă©chĂ©ances concurrentes

  • DiplĂ´me universitaire minimum dans un domaine connexe ou Ă©quivalent

Experience:

  • A minimum of two (2) years experience in customer service; experience in medical, pharmaceutical and/or insurance industry is an asset

  • Bilingual in French and English: written and verbal is an asset

  • Highly organized with strong attention to detail

  • Strong proficiency in Microsoft applications (Outlook, Word, Excel & PowerPoint)

  • Flexibility in working shifts (hours of operation are 8 am - 8pm)

  • Ability to apply critical thinking skills in order to solution problems

  • A Minimum of 2 years experience working for a patient support program

  • Experience working in a call center environment an asset

  • Strong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients

  • Proven ability to manage time, set priorities and multi-task in order to meet various competing work deadlines

  • Minimum University Degree in a related field or equivalent

Compétences et connaissances :

  • Fait preuve d’une solide Ă©thique de travail, est fiable et dĂ©montre de l’initiative pour acquĂ©rir de nouvelles compĂ©tences

  • Connaissance approfondie du secteur de la distribution pharmaceutique

  • Connaissance pratique des systèmes automatisĂ©s d’exploitation d’entrepĂ´t

  • Solide sens des affaires et comprĂ©hension financière

  • Fortes aptitudes analytiques et mathĂ©matiques

  • CapacitĂ© Ă  travailler dans un environnement dynamique et Ă  respecter les Ă©chĂ©ances de façon constante

  • CapacitĂ© Ă  communiquer efficacement Ă  l’oral et Ă  l’écrit – entièrement bilingue

  • Excellentes compĂ©tences en communication et en relations interpersonnelles, incluant une Ă©tiquette tĂ©lĂ©phonique efficace auprès de publics variĂ©s

  • CompĂ©tences efficaces en relations interpersonnelles et en leadership

  • Solides compĂ©tences organisationnelles et souci du dĂ©tail

  • Excellentes aptitudes en rĂ©solution de problèmes, avec une capacitĂ© Ă  rĂ©soudre les enjeux efficacement et de manière efficiente

  • Excellente maĂ®trise de Microsoft Word, Excel, PowerPoint et autres programmes Office

  • Excellentes compĂ©tences en leadership et en formation

  • Connaissance approfondie des programmes de soutien aux patients

  • Personne responsable, fiable et ponctuelle

  • Solides compĂ©tences en rĂ©solution de problèmes et expĂ©rience dans la gestion de situations complexes

  • Excellentes aptitudes relationnelles : travail d’équipe, empathie, capacitĂ© d’influence, adaptabilitĂ©

  • Solides compĂ©tences techniques et capacitĂ© d’apprentissage rapide de nouveaux logiciels ou bases de donnĂ©es

Skills and Knowledge:

  • Demonstrates a strong work ethic, is reliable and shows initiative to purse new skills

  • Advanced knowledge of pharmaceutical distribution industry

  • Working knowledge of automated warehouse operating system

  • Strong business and financial acumen

  • Strong analytical and mathematical skills

  • Ability to work in a fast paced environment and consistently meet deadlines

  • Ability to communicate effectively both orally and in writing- fully bilingual

  • Strong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients

  • Effective interpersonal and leadership skills

  • Effective organizational skills; attention to detail

  • Excellent problem-solving skills; ability to resolve issues effectively and efficiently

  • Strong Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs

  • Excellent leadership skills and training

  • In-depth knowledge of patient support programs

  • Responsible, dependable, and punctual

  • Strong problem solving skills and demonstrates experience handling complex problems.

  • Excellent people skills, team work, empathy, influencing others, adaptability.

  • Strong technical skills and ability to learn new software/databases quickly

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Full time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or emailhrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Accessibility Policy

Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

Affiliated Companies:

Affiliated Companies: Innomar Strategies
by @maxrusakovic