BILINGUAL CLINICAL SPECIALIST, PHARMACY SERVICES (HYBRID)

Green Shield Canada (GSC); Montreal; On-site; CAD 60,000 - 100,000; Full time

Job summary

This innovative firm is seeking a dedicated professional to enhance pharmacy benefit management. The role involves making critical decisions on drug authorizations, collaborating with various stakeholders, and ensuring a seamless transition for patients regarding biosimilars. The ideal candidate will possess a PharmD and have a strong understanding of the Canadian drug landscape. Join a mission-driven organization that values inclusivity and empowers its employees to make meaningful contributions to health care. If you are passionate about improving health outcomes and thrive in a collaborative environment, this opportunity is perfect for you.

Qualifications

• Minimum 2-3 years in pharmacy benefits management or related field.
• Licensed Pharmacist with a PharmD degree required.

Responsibilities

• Render decisions on complex drug authorization requests.
• Collaborate with stakeholders on pharmacy benefit management.

Skills

Bilingualism (French/English)

Analytical Skills

Problem Solving

Critical Thinking

Decision-Making

Time Management

Communication Skills

Customer Focus

Education

PharmD degree

Tools

Microsoft Office

Job 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.

THE ROLE IN A NUTSHELL

• Render decisions on complex drug authorization requests
• Perform literature reviews to assist with clinical escalations
• Assist with the development of pharmacy benefit management plan design alternatives and product/process enhancements.
• Collaborate with external stakeholders – Pharmacy and the Pharmaceutical industry - regarding new products as well as the adoption of new policies or practices.
• Collaborate with provincial and client stakeholders to implement, and monitor the Biosimilar Transition Program, ensuring a smooth transition for patients from reference biologics to biosimilars.
• Monitor provincial changes as they relate to biosimilar transitioning and listing of biosimilars.
• Create and implement communication plans for plan sponsors and impacted plan members for biosimilar transition initiatives.
• Provide analysis to plan sponsors or partners for the potential savings should they choose to implement the Biosimilar Transition Program.
• Assist patients in understanding and navigating their pharmacy benefits, ensuring they have access to the medications they need through appropriate channels, including leveraging clinical expertise to analyze member’s current drug coverage and provide recommendations to facilitate integration when alternative drug coverage is available.
• As required, act as the Concierge for plan members creating a positive member experience when helping them engage with provincial programs and manufacturer Patient Support Programs (PSPs).
• Provide expertise to clients, providers, and suppliers related to pharmacy benefit management.
• Contribute to benefit utilization analyses and preparing position papers and reports.
• Act as a subject matter expert for clients regarding pharmacy benefit management, especially for biosimilars, formulary changes, and reimbursement issues.
• Review and evaluate drug submissions from pharmaceutical manufacturers, ensuring the submission process adheres to regulatory and formulary guidelines.
• Collaborate with the P&T Committee to assess new drug listings, ensuring that decisions align with clinical guidelines, safety standards, and cost-effectiveness.
• Support the development and regular updating of clinical criteria used for drug utilization reviews, ensuring the criteria reflect the latest clinical evidence and best practices.
• Assist in the development of internal and external communications regarding GSC pharmacy benefit management strategy.
• Represent GSC in industry peer groups, external presentations, and conferences to reinforce GSC’s position as a pharmacy benefit management specialist.
• Perform other duties as assigned

WHO WE'RE LOOKING FOR

• Bilingualism (French/English)
• Minimum of 2-3 years of experience in pharmacy benefits management, pharmaceutical services, or a related field.
• Must be a licensed, registered Pharmacist holding a PharmD degree.
• Knowledgeable with respect to health legislation, policy and/or issues that impact how Pharmacy impacts GSC and its’ stakeholders.
• Strong understanding of the Canadian drug landscape.
• Strong analytical, problem solving, critical thinking and decision-making skills.
• Great organization and time management skills with ability to multi-task.
• Excellent analytical, listening, verbal and written communication skills.
• Proficiency with Microsoft Office tools required.
• Able to navigate ambiguity, overcome confusion, and simplify complex situations.
• A keen customer focus with excellent communication and presentation skills.
• Energetic self-starter with a strong sense of accountability and ownership.
• Able to work with minimal supervision.

Applications will be received until 7 p.m. EST, Day, Month dd, yyy.

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 [e-mail]. 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 résumé 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).