AddressFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada's Top 100 Employers, Canada's Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.
Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We're committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.
Together with Medavie Health Services, we are part of Medavie - a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.
Job Title:Drug Benefit SpecialistDepartment: Drug Management Competition: 86796 Internal/External: Both Employment Type: Full Time Permanent Location: NS, NS, ON, QC, NL Remote Salary: Competitive Compensation Reports To: Manager, Drug, Product & Provider Management
As a Drug Benefit Specialist, you will be a key player in meeting daily operational requirements and expectations of the Drug Management Solutions Team. Working in a fast-paced environment, you will be apt at multi-tasking and manipulating large volumes of data while ensuring accuracy and minimizing errors. You will also be involved in responding and resolving pharmacy provider questions and escalated concerns, and participating in special projects or corporate initiatives.
Key Responsibilities
- Maintains provincial formularies and supports pricing analytics and benefit updates;
- Manages processes such as system adjustments, quality assurance and communication updates;
- Responds to inquiries to support the operational areas with respect to drug management issues;
- Maintains the wholesale and tendered price files;
- Work in a team environment to deliver quality operational service;
- Support new Pharmacy Provider onboarding
- Point of contact for Pharmacy Provider queries submitted through PRDs, related information and issues for both external pharmacy provider community and internal customers;
- Responds to pharmacy provider inquiries related to drug, including but not limited to pricing, drug product availability, coverage inquiry or new product additions via email or phone;
- Ensures appropriate and timely resolution of escalations related to queries from Pharmacy Providers;
- Develops and maintains detailed process documentation for all related aspects of the role.
Required Qualifications
- Education: College and/or other post-secondary education in healthcare, business or a related field;
- Work Experience: Two or more years of related experience with preferred attention given to pharmacy technician and/or clinical experience;
- Other Qualifications: Familiarity with data analysis;Strong time management, multi-tasking and organizational skills, deadline driven;
- Computer Skills: Agile in using the MS Office Suite of products and manipulating data; Basic knowledge of Excel formulas and functions with willingness to expand proficiency;
- Language Skills: Bilingualism is considered an asset.
Core Competencies
- Knowledge - Technical and business aptitude with attention to detail
- Execution/Organizational Skills - Time management skills, the ability to multi-task and a high sense of urgency
- Customer Orientation - Strong customer focus and ability to maintain good relationships with clients
- Team work - Peer Relationships
- Analytic Thinking/Problem Solving - Ability to analyze, problem solve with attention to detail and accuracy
- Communication - Good verbal and written communication skills, with the ability to communicate complex processes or information effectively
#CBM1
We are an Equal Opportunity Employer.
Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential -a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.
For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.
We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.
Job Segment: Data Analyst, Quality Assurance, Pharmacy, Equity, Claims, Data, Technology, Healthcare, Insurance, Finance
