Commercial Planning Manager overseeing financial planning and analysis for business growth. Requires strong financial modeling skills and exposure to corporate finance.
About the role
- Pharmacy Senior Case Manager responsible for ensuring workflow in Ophthalmology clinics. Collaborating with healthcare providers and managing patient access to medications to maximize treatment outcomes.
Responsibilities
- Creates the patient profiles (pharmacy)
- Ensures the EF are complete - sends to the PSP (PSP creates Luminav profile)
- Calls patient to welcome them into the program
- Serve as a patient advocate by collaborating with healthcare providers and insurance companies to ensure access to appropriate medications and minimize out-of-pocket expenses
- Assist with SA completion and facilitate the submission of SA to the Insurance provider
- Assist with the reconciliation of Free doses
- Conducts Test bills
- Reports Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs
- Provides daily oversight to ensure that prescription workflow for designated One Team clinics is completed in a timely manner and according to clinic specifications
- Acts as the main point of contact to answer questions related to designated clinics from clinic, field and pharmacy staff while appropriately escalating concerns to the management team (Supervisor or a Program Manager)
- Assists with Pharmacy Assistant duties and responsibilities including prescription entry/labelling/packaging, preparing shipping reports, following up on insurance billing issues, answering phones, scanning/filing of paperwork and arranging courier deliveries as required
- Adherence to all relevant guidelines including the established Standard Operation procedures and all applicable regulatory requirements as set out by the applicable provincial pharmacy college
- Attends and participates in staff meetings
- Collaborate with the pharmacy, PSP (Case Manager), clinic and patient regarding the documentation necessary for maximum reimbursement coverage
- Perform other duties as assigned by manager
Requirements
- Post secondary diploma from Pharmacy Assistant program an asset
- Previous work experience in a pharmacy setting a strong asset
- Willingness to work in-person at the pharmacy
- Proficiency with Kroll strongly preferred
- Strong computer skills in Windows environments and MS Office (Excel, Word)
- Strong verbal and written communication skills required
- Ability to communicate in other languages an asset
- Knowledge and understanding of specialty medications along with third-party billing issues an asset
- Highly organized with strong attention to detail
- Excellent communication and interpersonal skills to effectively collaborate with patients and healthcare professionals
- Ability to prioritize, organize, and manage a caseload of patients efficiently
- Knowledge of insurance plans, formularies, and prior authorization processes
- Familiarity with pharmacy software systems and electronic health records
- Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare
Benefits
- Competitive Salary and generous vacation entitlement
- Wellness Program (5 paid days off for your well-being!)
- Paid Sick Days
- Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
- Employee & Family Assistance Program
- RRSP Matching Program
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