SPECIALIST – PBM SOLUTIONS (HYBRID - 12 MONTHS CONTRACT) at Green Shield
Toronto, ON M2N 6L7, Canada -
Full Time


Start Date

Immediate

Expiry Date

10 Oct, 25

Salary

0.0

Posted On

10 Jul, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Pharmaceuticals

Description

WHO WE ARE

When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.
We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place.
We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.
Our mission is to create better health for all Canadians, and we know that starts with our employees.

Responsibilities

THE ROLE IN A NUTSHELL

  • Execute formulary listing decisions as confirmed by our Pharmacy & Therapeutics Committee to internal and external stakeholders.
  • Supports automation of P&T operational processes to promote efficient end to end processing from drug submission to formulary listing.
  • Manages system implementation for all drug policies as well as all pharmacy products, services, and associated programs.
  • Performs and summarizes industry scans of innovative Pharmacy Benefit Manager (PBM) technologies and policies for presentation to the pharmacy team leadership.
  • Support the maintenance of pharmacy applications (including web apps and APIs).
  • Translate the pharmacy department’s strategic objectives into actionable IT requirements through scoping and system implementation.
  • Participate in user acceptance testing (UAT) and provide final sign-off on system enhancements related to drug benefit changes.
  • Provide responsive, solution-based support to internal teams for system related inquiries that aid sales and implementation.
  • Identifies testing requirements for system changes to implement new policies or projects.
  • Requests, creates and/or analyzes reporting as required.
  • Supports pharmacy, claims, and call centre leadership with escalation resolution.
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