Job Description
Team: Support
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Caseworker in Canada.
This role sits at the center of patient support services, where you will play a key part in helping individuals navigate complex reimbursement, insurance, and access pathways for essential therapies. You will act as a trusted guide for patients, healthcare providers, and insurers, ensuring seamless coordination of coverage options and financial assistance programs. The position combines case management, stakeholder communication, and problem-solving in a fast-paced healthcare support environment. You will manage a larger caseload while also supporting and mentoring other caseworkers in handling complex cases. Working closely with program management, you will contribute to process improvement, training, and operational excellence. This is a high-impact role where empathy, precision, and strong organizational skills directly improve patient access to care.
Accountabilities:
- Manage a large and complex patient caseload, identifying reimbursement pathways and supporting access to funding options for uninsured or underinsured patients.
- Act as a reimbursement expert, supporting colleagues with complex insurance, benefit investigation, special authorization, and appeal cases.
- Coordinate directly with insurance providers, healthcare professionals, physicians, pharmacies, and patients to ensure timely access to treatments.
- Support patient onboarding, including clinic and pharmacy selection, appointment scheduling, and drug order processing.
- Provide guidance, coaching, and mentorship to junior caseworkers, including training, shadowing, and call monitoring activities.
- Document all case activities accurately in program systems and ensure compliance with protocols, SOPs, and reporting requirements.
- Contribute to reporting, program improvement initiatives, and special projects assigned by program leadership.
- Monitor and escalate adverse events and ensure proper communication with relevant healthcare stakeholders.
- University degree in a related field or equivalent experience.
- Minimum 2+ years of experience in customer service, patient support programs, healthcare, pharmaceutical, or insurance environments.
- Strong understanding of reimbursement processes, insurance systems, and patient support program operations.
- Experience in a call center or high-volume client service environment is considered an asset.
- Excellent communication skills in English; bilingual French/English is a strong asset.
- Strong organizational skills with the ability to manage multiple priorities and meet strict deadlines.
- Proficiency in Microsoft Office tools (Outlook, Word, Excel, PowerPoint).
- Strong analytical, problem-solving, and critical-thinking abilities.
- High attention to detail, strong interpersonal skills, and a collaborative, empathetic approach to patient care.
- Ability to work in a fast-paced environment and adapt to changing priorities.
- Competitive salary range of $48,000 – $74,030 CAD, depending on experience.
- Comprehensive health benefits including medical, dental, and vision coverage.
- Family support programs such as parental leave, caregiver leave, adoption assistance, and fertility coverage (where applicable).
- Access to mental, emotional, and social wellness resources.
- Professional development opportunities including training programs, mentorship, and career growth initiatives.
- Inclusive workplace culture with employee resource groups and volunteer engagement opportunities.
- Flexible support programs for working families and work-life balance initiatives.
Requirements:
Benefits:
Explore More
Date Posted
05/11/2026
Views
0
Similar Jobs
Senior Technical Product Manager, AI Engineering & Systems - Jobgether
Views in the last 30 days - 0
View DetailsSenior Product Manager, AI Agents and Platform - Jobgether
Views in the last 30 days - 0
View Details