Case Manager - Ontario

OntarioOnsiteFull TimeManager / HeadCA$55,000–CA$65,000 /yrPosted 1 month agoHidden Gem · Himalayas

Is this role right for you?

Upload your resume and get a skill-by-skill breakdown — see exactly where you match, where you're close, and what to highlight. Not a mystery percentage.

Get a tailored resume highlighting what this role needs.

Required skills

Patient Support Program
PSP
specialty medications
patient journey
reimbursement
prior authorization
healthcare stakeholders
medication delivery
adherence
CRM system

Nice to have

RAMQ
ODB
NIHB
Salesforce
ACCESS CRM
Bilingual

Role summary

PSPSync is seeking a Case Manager to provide patient support for specialty medication programs. The role involves managing patient cases from enrollment to ongoing treatment, educating patients on therapy and financial assistance, conducting benefit investigations, and managing prior authorizations. The Case Manager will coordinate with healthcare stakeholders, monitor medication delivery and adherence, and document activities in a CRM system. This position requires a post-secondary education in a related field and 2+ years of experience in case management, reimbursement, or patient navigation, preferably within specialty pharmaceuticals. Knowledge of Canadian reimbursement systems and CRM platforms is essential. The role emphasizes a patient-centric approach, strong communication skills, and the ability to manage a high-volume caseload.

Case Manager – Patient Support Programs

About PSPSync

PSPSync is a dynamic and innovative provider of Patient Support Program (PSP) solutions, dedicated to enhancing access, adherence, and outcomes for patients prescribed specialty medications. We collaborate with pharmaceutical manufacturers, healthcare professionals, and pharmacies to streamline the patient journey and ensure seamless care.

Position Overview

As a Case Manager at PSPSync, you will be the primary point of contact for patients enrolled in our PSPs. You will navigate patients through complex treatment pathways, manage reimbursement processes, coordinate healthcare services, and provide ongoing support to ensure timely access to therapy. The Case Manager is critical in delivering compassionate, high-touch service that enhances the patient experience while driving program KPIs.

Key Responsibilities

Serve as the dedicated contact for assigned patients, managing their case files from enrollment through ongoing treatment.
Educate patients on their therapy, program services, and financial assistance options.
Conduct benefit investigations (private/public) and manage prior authorization submissions to ensure reimbursement approvals.
Liaise with physicians’ offices, pharmacies, payers, and other healthcare stakeholders to coordinate services.
Proactively follow up with patients to ensure medication delivery, monitor adherence, and address barriers to treatment.
Document all case activities in PSPSync’s CRM system with accuracy and timeliness.
Provide compassionate support to patients facing complex challenges in their treatment journey.
Identify opportunities for process improvement and escalate unresolved issues to the Case Management Lead.
Meet and exceed program KPIs including service level targets, patient onboarding timelines, and adherence metrics.

Qualifications

Post-secondary education in healthcare, life sciences, social services, or a related field.
2+ years of experience preferred in a Case Manager, Reimbursement Specialist, or Patient Navigator role, preferably in specialty pharmaceuticals.
Strong knowledge of Canadian private and public reimbursement systems (e.g., RAMQ, ODB, NIHB, etc.).
Experience working with CRM platforms (Salesforce, ACCESS CRM, or similar).
Excellent communication and interpersonal skills with a patient-centric approach.
Ability to multitask, prioritize, and manage a high-volume caseload.
Bilingual (English/French) is an asset but not required.

What We Offer

Opportunity to be part of a fast-growing, innovative PSP provider.
Collaborative team environment with a patient-first culture.
Competitive salary and comprehensive benefits package.
Professional development and career growth opportunities.

Please note:The Company does not use artificial intelligence in the screening, assessment, or selection of applicants for this position. This job posting relates to an existing vacancy.

Salary: $55,000 - $65,000

Originally posted on Himalayas

Ready to apply?

You'll be redirected to PSPSync's application page.