Job Description:

• Serve as the primary point of contact for patients, physicians, and patient support programs
• Coordinate reimbursement, access to therapy, patient education, and ongoing care navigation
• Collaborate with patient support program coordinators and provide required patient chart and record documentation
• Provide clinical and disease-state education to patients, caregivers, physicians, and healthcare professionals
• Support funding and reimbursement approval for prescribed therapies
• Assist physicians with provincially mandated transitions from originator biologics to biosimilars
• Complete special authorization forms, enrollment forms, reimbursement documentation, and program-specific requirements
• Provide therapy guidelines, reimbursement criteria, and payer requirements to physicians
• Coordinate, document, and track patient services according to established KPIs
• Coordinate treatment appointments and medication delivery with internal teams and pharmacies
• Report adverse events according to procedures, regulations, and company policies
• Evaluate processes and recommend improvements
• Administer case management protocols, including monitoring, follow-up, adherence support, therapy disruption monitoring, and provider communication
• Cross-train and collaborate with Navigators across therapeutic areas
• Serve as a central point of contact for multidisciplinary Immunology patient-care coordination
• Provide ongoing patient support, education, consultation, therapy assessments, adherence monitoring, treatment-response monitoring, and dose optimization
• Coordinate pre-biologic screening, laboratory testing, tuberculosis screening, imaging, and immunization assessments
• Coordinate routine bloodwork, therapeutic drug monitoring, and fecal calprotectin testing
• Coordinate therapy changes, dose adjustments, treatment transitions, infusion appointments, and follow-up activities
• Participate in therapy-specific training, meetings, conferences, and educational programs
• Identify risks and participate in continuous quality improvement initiatives
• Maintain accurate documentation in the Maple database and other applicable systems
• Maintain compliance with privacy legislation, corporate policies, regulatory requirements, and standard operating procedures

Requirements:

• Bachelor's Degree in Nursing, Pharmacy, or a related healthcare discipline
• Experience in Gastroenterology and/or Immunology
• Demonstrated ability to build collaborative relationships with patients, physicians, healthcare providers, patient support programs, pharmacies, and internal stakeholders
• Self-directed and motivated, with the ability to work independently while contributing effectively as part of a team
• Strong problem-solving, organizational, and decision-making skills with the ability to manage multiple priorities
• Business acumen and the ability to thrive in a corporate healthcare environment
• Excellent clinical assessment and clinical decision-making skills
• Experience with biologic therapies and administration
• Experience with reimbursement navigation, special authorization processes, funding appeals, and patient access support
• Knowledge of public and private reimbursement systems, funding pathways, and payer requirements
• Strong analytical skills, including the interpretation of policies, regulations, and reimbursement criteria
• Experience in pharmaceutical, healthcare, sales, marketing, or business administration environments is considered an asset
• Intermediate proficiency with Microsoft 365 applications, including Word, Excel, PowerPoint, Teams, Outlook, and Copilot
• Experience using patient support program platforms, electronic medical records, and patient management systems
• Ability to travel as required, including occasional overnight travel
• Ability to work effectively in a dynamic and rapidly changing healthcare environment
• Excellent verbal and written communication skills
• Strong interpersonal, stakeholder management, and relationship-building skills
• Maintain active professional licensure in good standing within the applicable province

Benefits:

• Competitive compensation package
• Annual bonus or long-term incentive opportunities may be offered
• Ongoing professional development through training, conferences, and industry engagement
• Exposure to advanced therapies and specialty healthcare
• Development of expertise in reimbursement, patient access, and navigation services
• Experience collaborating with multidisciplinary healthcare teams and industry partners
• Opportunity to support complex patient journeys and improve access to therapy
• Growth in leadership, stakeholder management, problem-solving, and clinical decision-making skills
• Experience working in an innovative, patient-centered healthcare environment focused on improving outcomes and access to care