Courageous Teams. Better Care. Peace of Mind.
Senior Care Navigator
Location
Canada
Posted
11 hours ago
Salary
0
Seniority
Senior
Job Description
Senior Care Navigator
Sentrex Health Solutions
• Cross-Program Coverage and Continuity • Provide vacation, sick leave, and temporary coverage for Care Navigators across multiple PSPs. • Ensure continuity of patient care during coverage periods, including timely follow-up, documentation, reimbursement activity, and adherence to program-specific KPIs. • Quickly learn and apply different program workflows, escalation pathways, client expectations, and reporting requirements. • Special Projects and Operational Support • Provide dedicated support for special projects across the PSP, including process improvement initiatives, workflow stabilization, program transitions, coverage planning, and operational support as assigned. • Support PSP leadership by identifying process gaps, reimbursement trends, coverage barriers, and opportunities to improve consistency across programs. • Assist with onboarding, knowledge transfer, or temporary workflow support when programs require additional experienced Care Navigator capacity. • Advanced Reimbursement Support • Apply extensive reimbursement expertise across multiple provinces, including public and private payer requirements, provincial coverage criteria, prior authorization processes, appeals, special authorization submissions, and employer or insurer escalations. • Collaborate with patients, insurers, physicians, pharmacies, infusion or injection service providers, and internal PSP teams to resolve reimbursement and access barriers. • Serve as a knowledgeable resource for complex reimbursement scenarios by supporting Care Navigators and PSP leadership with payer-specific requirements and escalation recommendations. • Patient and Program Support • Act as a point of contact for patient-related elements of the PSP when providing assigned coverage or project support. • Support timely patient enrollment, telephone support, maintenance calls, adherence follow-up, and ongoing case management as required by the assigned program. • Review, analyze, and validate patient information for accuracy and completeness to support initiation and continuation of services. • Maintain accurate and timely patient, clinic, and program information within the Customer Relationship Management (CRM) system. • Maintain confidentiality of patient, client, and corporate information and discuss information only with appropriate personnel. • Complete additional duties as requested by the Manager.
Job Requirements
- Post-secondary education in healthcare, life sciences, business administration, or a related field is preferred.
- Minimum 3–5 years of direct immunology Patient Support Program experience is required.
- Demonstrated experience supporting reimbursement across multiple Canadian provinces is required.
- Bilingualism (English and French) is an asset.
- Extensive reimbursement experience is required, including private insurance coordination, provincial public coverage, special authorization processes, appeals, payer follow-up, and patient financial assistance pathways.
- Advanced knowledge of public and private reimbursement structures, payer systems, documentation requirements, and province-specific reimbursement processes is required.
- Ability to rapidly learn and apply program-specific requirements while providing short-term coverage, project support, and operational continuity across different PSPs.
- Must be able to work from home and have a quiet, private home office space.
- Excellent verbal and written communication skills.
- Strong analytical skills including interpretation of regulation and legislation.
- Advanced knowledge of the pharmaceutical distribution industry.
- Excellent customer service, problem-solving, and conflict resolution skills.
- Effective interpersonal skills.
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
Related Guides
Related Categories
Related Job Pages
More General Jobs
Entry Level Background Investigator
CACI International IncExpertise and Technology for National Security
• Conduct comprehensive interviews with subjects, employers, and references • Resolve material issues to establish background and character of subjects • Participate in virtual training and mentorship with experienced Investigators • Potential travel for temporary duty assignments
• Install windshields and auto glass in our shop or from a mobile operation unit • Calibrate vehicle electronics such as ADAS systems, Lane Departure Warning, Forward Collision Alert, etc. • Repair chips and other glass damage • Interact with customers to ensure customer satisfaction with a job well done • Process payments from mobile customers • Maintain a professional appearance and positive attitude • Provide World Class customer service to our valued customers and vendors
Facilities Specialist – Field Remote
Chipotle Mexican GrillReal Food. Real People. Real Opportunities.
• Maintains restaurants through preventative maintenance on all aspects of the restaurant • Assists the Facilities Manager by supervising facility aspects of restaurant management at the market level • Performs facility maintenance and repair through monthly site visits and analysis of restaurants • Formulates preventative maintenance schedules for the safe, efficient, and effective operation of restaurant facilities • Carries out set procedures to be followed in the event facilities cease functioning • Trains managers, crew, and other restaurant staff on how to manage, maintain, troubleshoot, and repair restaurant facilities • Ensures managers, crew, and other restaurant staff are correctly and consistently following facility maintenance practices and procedures • Conducts detailed facility maintenance and repair seminars • Provides the Operations Team with comprehensive maintenance visit recaps detailing restaurant strengths and areas of opportunity • Identifies specific issues contributing to higher M & R costs and communicates these issues • Providing guidance to restaurants on how to maintain and update facility records • Performs equipment and building repairs on a regular basis • Performs new store turnover, 90 day and one-year walks/punches with Contractor and Operations Team for all new restaurants • Serves as the facilities representative at operations management meetings
• Support day-to-day implementation of Career Pathways initiatives across both countries. • Assist with operational execution of initiatives by coordinating tasks across matrixed teams. • Manage relationships with ecosystem partners by providing logistical and administrative coordination. • Capture implementation-level insights, risks, and learnings; maintain organized documentation and feed synthesized insights into the Deputy Director.
