Analyst II - Clinical Drug Services

Visa Hunt; Alberta; On-site; CAD 60,000 - 80,000; Full time

Job summary

Alberta Blue Cross in Alberta, Canada is seeking an Analyst II in Clinical Drug Services to deliver Special Authorization decisions for prescribed drugs, within established guidelines. You will document cases, enter details, and communicate outcomes to prescribers and subscribers.

The role requires post-secondary health services education or related experience, knowledge of medical terminology, accuracy, and strong analytical and communication skills; a team-oriented, service-minded approach is

Qualifications

• Post-secondary education in health services or medical field, or related experience.
• Knowledge of medical terminology and familiarity with drug names.
• Pathophysiology knowledge is an asset.
• Excellent analytical, problem solving, and decision-making skills.

Responsibilities

• Assess and render decisions on Special Authorization requests according to guidelines.
• Determine appropriate system entry and correspondence information.
• Enter information in Alberta Blue Cross systems to facilitate claims adjudication.
• Prepare correspondence advising prescribers and subscribers of decisions.
• Handle electronic and telephone inquiries from internal and external customers.
• Occasional work on Weekdays until 5:00 pm, weekends and holidays on a rotation basis.

Skills

Analytical skills

Problem solving

Decision making

Time management

Attention to detail

Communication skills

Team player

Customer service

Education

Pharmacy Technician diploma

Medical Office Administration certificate/diploma

Health services education

Tools

Microsoft Word

Microsoft Excel

Microsoft Access

Job description

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision.

Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

We currently have temporary career opportunities for an Analyst II in our Clinical Drug Services department. This position is responsible for delivering exceptional Special Authorization service to our customers, within established standards for turn-around. Special authorization is a process whereby prescribers can request coverage for specific drugs for their patients.

WHAT YOU WILL DO:

• Assess and render decisions on Special Authorization requests according to the established guidelines for drug(s) requested and accepted medical condition(s).
• Determine appropriate system entry and correspondence information to be recorded.
• Enter information on Alberta Blue Cross® computer systems regarding Special Authorization requests in order to facilitate appropriate claims adjudication.
• Prepare correspondence advising prescribers and subscribers of decisions regarding Special Authorization requests.
• Handle electronic and telephone inquiries from both internal and external customers.
• The ability to work occasional weekdays until 5:00 pm, weekends, and statutory holidays on a rotation basis is required.

WHAT YOU WILL HAVE:

• Post-secondary education in the health services or medical field (i.e. Pharmacy Technician diploma, Medical Office Administration certificate/diploma), or directly related experience.
• Knowledge of medical terminology and familiarity with drug names is required. Pathophysiology would be an asset.
• Must possess excellent analytical, problem solving, and decision-making skills.

• Must have a demonstrated ability to manage time effectively and work with minimum supervision in a team environment.
• Must have a high degree of accuracy and attention to detail.
• Computer proficiency, particularly with Microsoft Office (i.e. Word, Excel, and preferably Access) is required.
• Excellent written and verbal communication skills, as well as organizational skills are required.
• Must have demonstrated ability to meet the challenges of heavy workloads and frequent change.
• Must be a strong team player.
• Must be service-oriented and responsive to our customers. This includes the ability to establish and maintain effective working relationships with both internal and external customers.

This position will remain open until a suitable candidate is selected.

Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment.

A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.