Sr. Patient Services Specialist (20-month contract)

Responsibilities :

Liaise with the patient, insurer and physician regarding the documentation required for maximum reimbursement coverage, including the exploration of all public and private insurers and providing employer escalations as required

Responsible for escalation management in cases where assistance beyond program scope is required

Gather all pertinent and appropriate information from the patient chart and complete necessary documents in a concise, organized and professional manner and submit physician signed forms to the private and / or provincial drug benefit insurer / agency

Follow up with applicable insurers until a decision is received, with the intent of expediting a decision where possible.

If the submission has been denied, the Senior Patient Services Specialist will discuss this with the physician and resubmit if agreed upon

Updates with respect to the reimbursement submissions, confirmation of coverage and re-submissions will be entered into the patient database

Complete follow ups with patients on behalf of the physician offices, as required, to ensure adherence to treatment regimens

Provides information and updates to physicians and staff in their offices regarding the medication in terms of new criteria and indications as received from McKesson Canada or the Client

Receive, record and report Adverse Events as per the Pharmaceutical Manufacturer requirements

Participate and assist in departmental continuous improvement activities related to process, quality, training etc.

Maintain service levels in case management, including Adverse Events reported within twenty-four hours of receipt and any other Key Performance Indicators established at the Program level

Perform data-entry, answer inbound calls, make outbound calls, manage e-mail and fax software, general administrative functions including faxing, filing, scanning.

Minimum Requirements :

Typically requires 5+ years of related experience.

Competencies :

Excellent verbal and written skills in English

Flexibility in working rotational or variety of different hours (hours of operation are 8 am to 8 pm EST Monday to Friday).

Typical hours are 9 am-5 pm MST, Monday to Friday, plus occasional 10 am 6 pm MST shifts

Strong customer service, communication, problem solving skills required

Proficient in Microsoft Office applications (Word / Excel)

Team Player and comfortable working independently

Thorough knowledge of adult learning principles and training.

Organized with a high attention to detail

Understands and applies techniques to manage multiple priorities

Possesses a high level of motivation to achieve necessary involvement within a team

Preferably based out of Western Canada, but not mandatory

What you gain in the role (Knowledge / Skills / Abilities / Experiences)

Training in the use of program specific databases

Knowledge of specialty medications and patient support ecosystem

Teamwork

Critical thinking

Building networking skills

Customer service

Effective prioritization

Patient advocacy

Reimbursement landscape

Career Level IC Business Support B4

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets.

The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations.

In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered.

For more information regarding benefits at McKesson, please

Our Base Pay Range for this position

$48,300 - $80,500