Job Description

This posting is intended to build a pipeline of qualified candidates in anticipation of the growth our Pharmacy team is forecasting across the country. While there may not be an immediate opening, we encourage you to apply so we can connect when a suitable opportunity arises.*

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.

THE ROLE IN A NUTSHELL

Reporting to the Lead, Patient Support Programs (PSP) & Preferred Pharmacy Network (PPN), the Bilingual PSP Case Manager provides national support to Canadian patients living with chronic or rare conditions by ensuring patients have access to their prescribed treatments in a timely manner and improve their quality of life. The Bilingual PSP Case Manager provides enrolment and reimbursement assistance, manages financial assistance activities, provides patients with disease state education, performs case management and healthcare services to patients, their dependents and the patient's direct circle of care for specific prescribed molecules. The Case Manager manages Special/Prior Authorizations at both the private and public payer-levels with submissions pertaining to obtaining drug reimbursement and coverage through private and provincial drug formularies.

Primary Duties and Responsibilities:

Assist prescribing physicians with the completion of patient enrolments, gathering all pertinent information to complete private and/or provincial insurance forms Liaise with insurance and healthcare providers as well as provincial governments as necessary to determine coverage options Review patient charts (paper or electronic) Complete welcome call activities with the patient according to defined program Standards of Practice (SOP)
Facilitate any required communication with physicians, patient support programs, or other healthcare professionals in the patient's circle of care
Work closely with the manufacturer's sales resources to support specific physician and staff needsOffer and provide educational training to patients and physicians on specific product's administration as aligned to the approved Health Canada product monograph Act as a central resource for program stakeholders, which includes but not limited to physicians, nurses, patients, clinics, pharmacists, lab technicians, etc. Ensure patient records are meticulously maintained and data is accurate in order to meet program reporting requirements Leverage Pharmacovigilance knowledge and identify Adverse Events (AEs) / Product Quality Complaints (PQCs) and report according to predefined Health Canada and manufacturer expectations Utilize nursing processes, through critical thinking, problem solving and decision making to proactively manage assigned patients who require case management services Effectively navigate, teach, counsel, coach, support, direct and advocate as required on specific diseases, therapies and disease management Provide adherence and persistency case management as required by the program Utilize multiple software applications including CRM Participate in quality activities and support continuous improvement of programs Ensure compliance with provincial & federal privacy legislation Participate in on going internal and/or external continuing education activities Adhere to GreenShield Pharmacy's Polices, Processes and Procedures

WHO WE'RE LOOKING FOR

Fully Bilingual in French and English (fluently read, write and speak) -

Strongly preferred.

Possess strong clinical expertise and experience in a range of health conditions A university degree in a health-related field 5+ years PSP or case management experience Understanding of provincial and private coverage criteria and how to navigate the Canadian drug coverage landscape Familiarity with the Special / Prior Authorization process with both public and private insurance Familiarity and knowledge of Health Canada Pharmacovigilance requirements Proven ability to work effectively as part of an interdisciplinary team and demonstrate competence in performance of case management, providing patient education, virtual assessments / interventions and documentation Excellent organizational, problem-solving, decision making, conflict resolution and critical thinking abilities Excellent interpersonal, listening and communication skills (written and verbal), ability to direct conversations and target specific issues Tech savvy with fundamental knowledge of Microsoft Office and other tools Self-regulation of time management and the ability to multi-task and adhere to deadlines Familiarity with Provincial (e.g. Personal Health Information Protection Act) and Federal (e.g. Consumer Privacy Protection Act) privacy laws

Location & Hours:

Location: Hybrid work from home & office; 2 days / week in office in Mississauga

Program Hours of Operation: 8am to 8pm - available shifts 8-4, 9-5, 10-6, 12-8

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 resume 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).