One Point Patient Care/ Reimbursement Specialist*

Missisauga, Ontario
Greenshield Speciality Pharmacy – Clinical /
On-Site /
On-site
WHO WE ARE
When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.

We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place. We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.
 
Our mission is to create better health for all Canadians, and we know that starts with our employees. 

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.

Exciting opportunities await! While we're not actively hiring today, we're gathering a group of talented individuals for a future Full-time Patient Care/Reimbursement Specialist. If you're skilled in the pharmacy field, share your resume to join our exclusive talent pool. Your expertise could be the key to our next success. Elevate your career with us!

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.

ROLE IN A NUTSHELL

    • 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

WHAT 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)
    • Experience with public (provincial and federal) and private third party drug reimbursement plans
    • 2-3 years’ experience in a Customer Service or Call Centre setting
    • 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.
    • Flexible to work longer hours, overtime as required
    • Able to work flexible hours between 8:00AM to 8:00PM

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

    • Superior customer service skills
    • Demonstrated teamwork abilities
    • Ability to manage multiple tasks and priorities at once
    • Comprehension of medical terminology, Ability to read and interpret patient charts
    • Strong analytical skills including interpretation of regulation and legislation.
    • Ability to make decisions using sound judgment
    • Ability to work autonomously
    • Strong organizational skills, creative problem solving and results oriented.
    • Strong time and project management skills and sense of urgency
    • 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
    • Must have a valid driver’s license and possess a car
    • Ability to conduct Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
    • Can interact with multiple sales reps and district managers from the commercial team
    • Superior verbal and written communication skills, interpersonal skills and
    • Attention to detail.
    • Ability to speak multiple languages an asset
    • Established relationships with Customers in a given territory, an asset
    • Knowledge of public, private and federal reimbursement an asset
    • Hold and maintain a valid, non-expired, unrestricted driver’s license

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.
 
Take a minute to get to know us better by clicking here to watch our short video.
 
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).