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Gestionnaire de Cas Principal, Bilingue / Bilingual Senior Caseworker
Gestionnaire de Cas Principal, Bilingue / Bilingual Senior Caseworker-November 2024
Flexible / Remote
Nov 24, 2024
ABOUT CENCORA
Cencora is a leading global pharmaceutical solutions company that is committed to improving the lives of people and animals everywhere.
10,000+ employees
Healthcare, Healthtech
VIEW COMPANY PROFILE >>
About Gestionnaire de Cas Principal, Bilingue / Bilingual Senior Caseworker

  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!

  What you will be doing

  PRINCIPALES FONCTIONS ET RESPONSABILITÉS :

  Travailler étroitement avec les patients qui lui sont confiés pour trouver différentes options de remboursement et étudier les options financières pour les personnes non assurées.Collaborer à l'encadrement et au mentorat des membres de l'équipe.Gérer un nombre de cas plus grand que ses collègues gestionnaires de casAgir comme expert du remboursement dans un territoire donnéFournir de l'aide aux autres gestionnaires de cas en ce qui concerne les remboursements complexes, les assurances, les enquêtes sur les avantages, les autorisations spéciales et les appels.Participer à des projets spéciaux à la demande du gestionnaire de programme.Fournir un soutien quotidien au gestionnaire de programme adjoint.Aider la gestion à préparer les différents rapports et à exécuter les tâches relatives au programme.Travailler avec la gestion pour élaborer un protocole de programme et des PON pour le rôle de gestionnaire de cas.Avec la gestion, offrir de la formation aux nouveaux gestionnaires de cas, incluant, sans s'y limiter, l'observation au travail et la surveillance des appels.Interagir régulièrement avec les compagnies d'assurance, les cabinets des médecins et les professionnels de la santé afin d'offrir un soutien optimal en matière de remboursement.Aider les patients à choisir une clinique et une pharmacie et planifier les rendez-vous des patients.Produire des commandes de médicaments en s'assurant que les renseignements sont envoyés à la pharmacie et aux parties intéressées par télécopieur.Respecter les processus généraux de l'entreprise.Offrir un soutien téléphonique : Mettre en œuvre des programmes du centre d'appel, ce qui comprend fournir un soutien téléphonique aux patients et aux organismes qui représentent les professionnels de la santé et les organismes de financement. Les fonctions d'assistance actuelles portent sur les domaines suivants :

  les questions de financement et d'accès, y compris les programmes privés, publics et d'accès spécialles programmes de conformité.Administrer et respecter les protocoles de gestion de cas, y compris la surveillance clinique, la collecte de données, le suivi continu des patients, la surveillance de l'interruption ou de l'abandon de traitement, la déclaration des événements indésirables et la communication avec les principaux fournisseurs de soins.Mettre en œuvre des initiatives d'études de marché liées aux domaines pharmaceutiques et biotechnologiques avec des médecins, des patients, des pharmaciens ou d'autres professionnels de la santé;Tous les programmes de patients sont fondés sur des méthodes de gestion de cas et comprennent une quantité importante d'appels sortants.Consigner chaque activité dans la base de données propre au programme.Participer aux formations de recyclage continues et aux cours spécialisés sur des produits ou des programmes précis jugés appropriés par le gestionnaire.Communiquer clairement avec le gestionnaire, l'équipe et les collègues formés du programme au sujet de la gestion des cas durant les absences planifiées.Assumer la responsabilité du signalement de tous les effets indésirables aux unités ou départements touchés.Le gestionnaire de cas principal se verra également confier d'autres fonctions et tâches au besoin, de temps à autre.

  PRIMARY DUTIES AND 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 supportAssists the patient with Clinic and Pharmacy selections, and schedules patient appointmentsGenerates drug orders ensuring that required information is faxed to the pharmacy, and related partiesAdherence 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 programsAdminister 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/departmentsThe Senior Caseworker will also be assigned other duties and tasks as required from time to time.

  What your background should look like

  EXPÉRIENCE ET NIVEAU D'ÉDUCATION REQUIS :

  Au moins deux ans d'expérience du service à la clientèle; une expérience dans l'industrie médicale, pharmaceutique ou de l'assurance est un atoutBilinguisme en français et en anglais écrit et oralGrand sens de l'organisation et souci du détailExcellente maîtrise des applications Microsoft (Outlook, Word, Excel et PowerPoint)Flexibilité en matière de quarts de travail (les heures d'ouverture sont de 8 h à 20 h)Capacité d'appliquer ses aptitudes de réflexion critique pour résoudre des problèmesUn minimum de deux ans d'expérience de travail pour un programme de soutien aux patientsExpérience du travail dans un centre d'appels un atoutAptitudes marquées pour les relations interpersonnelles et la communication écrite et orale, y compris une étiquette téléphonique irréprochable avec divers auditoires, dont le personnel interne, les professionnels de la santé et les patientsAptitude manifeste de gestion du temps, d'établissement des priorités et d'exécution de plusieurs tâches à la fois afin de respecter des délais serrés et concurrents.Un diplôme universitaire dans un domaine connexe ou l'équivalent

  COMPÉTENCES, CONNAISSANCES ET APTITUDES REQUISES :

  Faire preuve d'une solide éthique du travail, être fiable et faire preuve d'initiative pour acquérir de nouvelles compétencesConnaissance avancée de l'industrie de la distribution pharmaceutiqueConnaissance pratique du système d'exploitation d'entrepôt automatiséSens aigu des affaires et des financesSolides compétences analytiques et mathématiquesCapacité de travailler dans un environnement dynamique et de respecter constamment les délaisCapacité à communiquer efficacement oralement et par écrit - bilinguisme parfaitAptitudes marquées pour les relations interpersonnelles et la communication écrite et orale, y compris une étiquette téléphonique irréprochable avec divers auditoires, dont le personnel interne, les professionnels de la santé et les patientsCompétences interpersonnelles et de leadership efficaces.Sens de l'organisation; souci du détail.Excellentes aptitudes en résolution de problèmes; capacité à résoudre les problèmes de façon efficace et efficienteConnaissance approfondie de Microsoft Word, Excel, PowerPoint et d'autres programmes OfficeExcellentes compétences en leadership et en formationConnaissance approfondie des programmes de soutien aux patientsFiabilité, ponctualité et sens des responsabilitésExcellentes aptitudes de résolution de problèmes et capacité manifeste à résoudre des problèmes complexesExcellentes aptitudes en relations interpersonnelles, travail d'équipe, empathie, sens de la persuasion, adaptabilitéBonnes aptitudes techniques et capacité d'apprendre rapidement à utiliser de nouveaux logiciels et des bases de données.

  EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

  A minimum of two (2) years experience in customer service; experience in medical, pharmaceutical and/or insurance industry is an assetBilingual in French and English: written and verbalHighly organized with strong attention to detailStrong 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 problemsA Minimum of 2 years experience working for a patient support programExperience working in a call center environment an assetStrong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patientsProven ability to manage time, set priorities and multi-task in order to meet various competing work deadlinesMinimum University Degree in a related field or equivalent

  MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

  Demonstrates a strong work ethic, is reliable and shows initiative to purse new skillsAdvanced knowledge of pharmaceutical distribution industryWorking knowledge of automated warehouse operating systemStrong business and financial acumenStrong analytical and mathematical skillsAbility to work in a fast paced environment and consistently meet deadlinesAbility to communicate effectively both orally and in writing- fully bilingualStrong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patientsEffective interpersonal and leadership skillsEffective organizational skills; attention to detailExcellent problem-solving skills; ability to resolve issues effectively and efficientlyStrong Knowledge of Microsoft Word, Excel, PowerPoint and other Office ProgramsExcellent leadership skills and trainingIn-depth knowledge of patient support programsResponsible, dependable, and punctualStrong 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

  The successful candidate will (requirement)/may (asset) have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.

  Le candidat retenu aura/pourrait avoir des contacts quotidiens avec des clients, des patients ou des pairs unilingues anglophones d'équipes interfonctionnelles

  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.

  For details, visit https://www.virtualfairhub.com/amerisourcebergen

  .

  Schedule

  Full time

  Affiliated Companies:

  Affiliated Companies: Innomar Strategies

  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.

  AmerisourceBergen 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 email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

  COVID-19 Vaccine Policy

  As of October 18, 2021, Cencora requires all Canadian team members to be fully vaccinated and show proof of completed vaccine status at time of hire. If you cannot receive the COVID-19 vaccine due to a qualifying medical condition or sincerely held religious belief you will be required to follow AmerisourceBergen's policy and process to apply for an exemption/accommodation.

  Accessibility Policy

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

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