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In support of Health Care Professional and their patients, the Program Relations Manager serves as the primary point of contact for HCP to support navigation of PSP requirements and acts as a liaison between PSPs, healthcare providers.
Job Responsibility:
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
Monitor’s patient journey and addresses barriers or delays
Provides proactive assistance to resolve issues and escalates accordingly
Serves as the primary point of contact (or liaison) between PSPs and HCPs
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 processes improvement to facilitate exchange of information
Ongoing maintenance of communication
Proactively provides help to resolve issues
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
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
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 communication and interpersonal skills for effective patient and healthcare provider interactions
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
Nice to have:
Experience and background in various therapeutic areas is an asset
Background in business administration (pharmaceutical) sales and marketing an asset
What we offer:
medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions
paid parental leave
paid caregiver leave
variety of training programs
professional development resources
opportunities to participate in mentorship programs