At Ontario Health, we are committed to developing a strong organizational culture that connects and inspires all team members across the province. Our vision is that together, we will be a leader in health and wellness for all. Our mission is to connect the health system to drive improved and equitable health outcomes, experiences and value. How we work together is reflected through our five values: integrity, inspiration, tenacity, humility and care.



Want to make a difference in your career? Consider this opportunity.



The PET Scans Ontario program coordinates PET scan services across the province, using an evidence-based approach to ensure appropriate access. PET scans in Ontario are available as predefined indications or through a case-by-case review program (PET Access).

The PET Analysts will support the team in administering the program\'s operations, specifically facilitating the reviews of requests through the PET Access Program. They will work closely with clinical expert reviewers, referring physicians, and PET center staff across Ontario. They will support operational excellence that includes high-quality data collection, timely reviews of funding requests, and clear communication to stakeholders. They will also have an opportunity to design, test and implement a new provincial adjudication and reimbursement system and support the development and execution of a revised measurement plan.



Here is what you will be doing:

• Assesses, refines, tests, and maintains operational policies, processes, and procedures for reviewing and adjudicating PET Access applications
• Facilitates PET Access Program request evaluation, including:

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  Screens and prioritizes incoming requests for processing, including verification of administrative eligibility, redaction of confidential data, and data tracking
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  Liaises with referring physicians and clinical expert reviewers to complete reviews of requests, including summarizing reviewer feedback into key points and/or actions for referring physicians
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  Provides clear, consistent, accurate and timely written and verbal communications to stakeholders (e.g., patients, caregivers, physicians, public) concerning funding decisions, pricing, and policies
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  Supports the procurement of new clinical expert reviewers and facilitates their training
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  Manages the program telephone hotline and email inquiries by responding to patient-specific and general inquiries on PET scan services in the province
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  Identifies and escalates risks to the Team Lead and proposes recommendations to address the issues identified
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  Builds and manages relationships with clinical expert reviewers who provide clinical input and recommendations on the adjudication of cases
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  Maintains accurate records in the programs\xe2\x80\x99 tracking systems and software. Records include material of a confidential nature, including patient, physician and financial data
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  Monitors trends in applications and provides input into provincial discussions around the expansion/ revision of eligibility criteria
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  Supports funding to PET centres and clinical expert reviewers through data collection, analysis and reporting
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  Supports the development of a measurement plan to monitor program operations that will enable operational excellence in program delivery
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  Works with relevant clinical and program stakeholders to prepare for and present at meetings, as relevant (e.g., team meetings and/or expert clinician meetings)
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  Provides subject matter expertise to partners across Ontario Health as required, including collaboration with other departments (e.g., Technology Services, Privacy) to develop, enhance, and implement the program\xe2\x80\x99s automated adjudication and reimbursement system by providing business requirements, facilitating requirement discussions with external users, completing user acceptance testing, and communicating launch and roll-out of the system across the province

Here is what you will need to be successful:



Education and Experience

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  A university degree in Health Studies, Health Sciences, Health Systems, or equivalent
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  3-5+ years\xe2\x80\x99 experience in a health care setting (e.g., hospital), government or agency, or other organization in the health sector
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  Experience reviewing and understanding medical records, and being able to apply eligibility criteria to individual cases
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  Knowledge of public healthcare systems and public health policies

Knowledge and Skills

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  Excellent English written and oral communication skills
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  Demonstrates high attention to detail in all work processes, documentation and deliverables
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  Comfortable working in a dynamic and fast-paced environment with a high degree of variation and often competing priorities, with demonstrated ability to prioritize and multi-task to meet deadlines
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  Experience working with clinicians and clinical subject matter, with a demonstrated ability to rapidly learn new subject matter and abstract key actions
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  Takes initiative and anticipates needs of colleagues, manager, and stakeholders
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  Ability to work independently using sound judgement and independent thought
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  Confidence in making decisions and working independently yet seeking input when required
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  Works collaboratively with others, supporting the needs and goals of the team
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  Excellent interpersonal and customer service skills
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  Demonstrated ability to build relationships with colleagues, clinicians and other stakeholders
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  Demonstrated history of using discretion in dealing with sensitive issues and maintaining appropriate levels of confidentiality
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  Responsible and highly motivated; takes pride in their work
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  Proficiency with computer software applications

Employment Type: Temporary Full Time (Approximately 18 months)



Paygrade and Zone: 4A



Location: Toronto, Ontario (currently hybrid; subject to change) All applicants must be a resident of Ontario to be considered for roles at Ontario Health.



Internal Application Deadline Date: March 29, 2023



Ontario Health encourages applications from candidates who are First Nations, M\xc3\xa9tis, Inuit, and urban Indigenous; Francophone; Black and racialized; members of 2SLGBTQIA+ communities; trans and nonbinary; and disabled.


We encourage applicants with accessibility needs to notify us if they have any accommodation needs in the application and/or interview process.



Note: As part of the initial recruitment screening process, applicants must confirm that they are fully vaccinated against COVID-19. If applicants are not fully vaccinated, they will be required to identify any accommodation needs pursuant to a protected ground under the Code. Applicants who identify an accommodation need will be required to provide supporting documentation with respect to their need for accommodation when requested by Ontario Health. If no such accommodation is identified, the applicant will not be eligible to proceed through the recruitment process.