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Résumé du poste

The Clinical Specialist will render decisions on complex drug authorization requests and perform literature reviews to support clinical escalations. They will also collaborate with external stakeholders and contribute to pharmacy benefit management strategy and reporting.

Détails du poste

WHO WE ARE GreenShield is a proudly Canadian, national non-profit health care and insurance organization, driven by our mission of Better Health for All. We believe health care is a right, not a privilege, and we are committed to improving health outcomes, advancing health equity, and building a future where every Canadian can reach their full health and well-being potential. Through our unique integrated payer-provider ("payvider") model, we offer insurance, administer benefits, and pay claims as a ‘payer’ while offering health care services such as mental health, pharmacy, telemedicine, and chronic disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess earnings to directly support underserved communities. Through GreenShield Cares, we positively impacted the health and well-being of over one million Canadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additional three million Canadians by 2030 – across mental health, essential medicines, and chronic disease management – through scalable initiatives that deliver meaningful change in pursuit of our mission of Better Health for All. At GreenShield, our culture is where purpose meets passion and performance. Our teams work as one to deliver meaningful, measurable impact for the people and communities we serve. THE ROLE IN A NUTSHELL Base Salary: CAD $72,521.00 - 109,341.00 Render decisions on complex drug authorization requests Perform literature reviews to assist with clinical escalations Assist with the development of pharmacy benefit management plan design alternatives and product/process enhancements. Collaborate with external stakeholders – Pharmacy and the Pharmaceutical industry - regarding new products as well as the adoption of new policies or practices. Provide expertise to clients, providers, and suppliers related to pharmacy benefit management. Contribute to benefit utilization analyses and preparing position papers and reports. Assist in the development of internal and external communications regarding GSC pharmacy benefit management strategy. Represent GSC in industry peer groups, external presentations, and conferences to reinforce GSC’s position as a pharmacy benefit management specialist. WHO WE'RE LOOKING FOR Experience in pharmacy benefit management. Must be a licensed, registered Pharmacist. Knowledgeable with respect to health legislation, policy and/or issues that impact how Pharmacy impacts GSC and its’ stakeholders. Excellent analytical, listening, verbal and written communication skills. Proficiency with Microsoft Office tools required. Able to navigate ambiguity, overcome confusion, and simplify complex situations. A keen customer focus. Management / supervisory experience is an asset. THE CULTURE We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place where you can be inspired, challenged, and rewarded. Where your growth means our growth. Where your voice is heard and valued. Where your work has purpose. And purpose matters. We believe our people are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together. Here’s to Better Health for All! A FEW MORE DETAILS Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization. GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through requestforaccommodation@greenshield.ca. Information received relating to accommodation will be addressed confidentially. Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification). AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.

Ce que vous ferez

The Clinical Specialist will render decisions on complex drug authorization requests and perform literature reviews to support clinical escalations. They will also collaborate with external stakeholders and contribute to pharmacy benefit management strategy and reporting.

Exigences

Candidates must be a licensed, registered Pharmacist with experience in pharmacy benefit management. Proficiency in Microsoft Office and strong analytical and communication skills are required for this role.

Compétences indiquées

• Policy development · Souhaitée
• Microsoft Office · Souhaitée
• Communication Skills · Souhaitée
• Stakeholder Management · Souhaitée

Autres compétences pertinentes

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Pharmacy benefit management
• Clinical authorization
• Literature review
• Analytical skills
• Communication skills
• Microsoft Office
• Policy development
• Stakeholder management
• Clinical escalation
• Benefit utilization analysis
• Report writing
• Customer focus
• Chronic Disease Management
• Supervision
• Registered Pharmacist (RPh)
• Artificial Intelligence
• Mental Health
• Management
• Customer Service
• Communication
• English Language
• Equities
• Health Equity
• Scalability
• Pharmaceuticals
• Presentations
• Telehealth
• Authorization (Computing)
• Transcribing
• Literature Reviews

Domaines d’emploi

• Healthcare
• Management & Leadership
• Consulting
• Clinical Pharmacist
• Pharmacists