Senior Case Manager

Sentrex Health Solutions

. Deliver high-level case management, training, and support services to various programs and departments .

Posted 10/14/2026full-timeRemote • CanadaSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Patient Support Programs and Case Management, with a strong focus on reimbursement processes and patient enrollment. Proficient in managing multiple projects, providing training, and ensuring timely patient access to treatments.

Highest-signal resume keywords

Patient Support Program ManagementReimbursement Billing ExpertiseCase Management KnowledgeExcellent Communication SkillsAnalytical Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementReimbursement BillingPatient EnrollmentFinancial Eligibility AssessmentData AnalysisProject ManagementRegulatory InterpretationTraining DevelopmentCRM ManagementDocumentation Review

Soft Skills

Customer ServiceConflict ResolutionInterpersonal SkillsOrganizational SkillsMultitasking

Tools & Technologies

Adobe AcrobatSharePointMicrosoft OfficeCRM Software

Industry Keywords

Pharmaceutical DistributionPrivate and Public ReimbursementPatient Support ProgramsAdverse Event ReportingService Coordination

About the role

Key responsibilities & impact

Deliver high-level case management, training, and support services to various programs and departments
Manage patient enrollment, reimbursement processes, and service coordination
Provide drug coverage support to physicians and patients
Follow up on private and provincial drug-plan coverage submissions
Ensure timely patient access to prescribed treatments
Provide ongoing patient support using available resources
Assist with program training needs and develop and maintain training materials
Enroll patients into the Patient Support Program in a timely manner
Collaborate with patients, insurers, and physicians on documentation for reimbursement coverage
Investigate public and private insurers and support employer escalations
Review patient charts, previous therapies, and tests to assist physicians with coverage documentation
Provide therapy guidelines and program education
Conduct patient financial eligibility assessments
Coordinate and track patient services
Report Adverse Events and Severe Adverse Events according to approved SOPs
Maintain case-management service levels and program KPIs
Update the CRM with patient and clinic information
Provide feedback to the Associate Program Manager on service quality, training, and field observations
Provide backup assistance to PSP Supervisors, Associate Program Managers, and Program Managers
Identify coverage obstacles and recommend corrective actions
Participate in PSP team and client meetings
Complete reports, timesheets, expenses, mileage, and CRM validation
Create work instructions and training documents
Support program pre-launch and post-launch activities
Update training content and facilitate in-person and virtual learning sessions
Manage multiple projects with tight deadlines
Act as a subject matter expert for CRM and case management
Shadow case managers to provide training and support
Provide ad hoc support to programs, teams, and departments
Assist with data cleanup and other duties requested by PSP Management

Requirements

What you’ll need

Bachelor’s Degree or College Diploma in a relevant field of study
2-5 years of experience in Patient Support Programs with advanced knowledge of Case Management and the pharmaceutical distribution industry
Advanced knowledge of reimbursement billing, special access, the appeals process, and field-based reimbursement support and consultation
Must be able to work from home and have a quiet, private home office space
Excellent verbal and written communication skills in English
Knowledge of private and public reimbursement structures, systems, and processes
Strong analytical skills, including interpretation of regulation and legislation
Excellent customer service, problem-solving, and conflict resolution skills
Strong interpersonal skills
Strong functional use of various computer-based programs
Proficiency in Adobe Acrobat, SharePoint, and Microsoft Office applications
Strong ability to consistently meet deadlines and prioritize projects
Exceptional organizational skills
Ability to establish and build healthy working relationships and partnerships with peers
Ability to work independently, make decisions, multitask, and solve problems under a high degree of pressure
Flexible, resourceful, creative, and proactive work style
Results-oriented with ability to handle multiple tasks and maintain high performance
Advanced ability to learn and understand new systems and software quickly
Excellent problem-solving skills
Bilingualism (English and French) will be considered a strong asset

Benefits

Comp & perks

State-of-the-art facilities to provide high-quality products and services
Flexible working environment that promotes a healthy work-life balance
Diverse and inclusive culture
Employee Development Program
Industry-leading, in-house corporate training offered throughout the year
Competitive Salary
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
Remote work arrangement