Clinical Pharmacist - Express Scripts Canada

Express Scripts Pharmacy Benefit Services; Montreal; On-site; CAD 80,000 - 100,000; Full time

Job summary

A leading pharmacy benefit management service seeks a Clinical Pharmacist to provide clinical expertise and leadership in Montreal. The ideal candidate must be bilingual, hold a Bachelor’s degree in Pharmacy, and have at least 2 years of experience in patient care. This role involves managing clinical programs and working closely with various stakeholders to ensure high-quality service delivery.

Benefits

Competitive salary

Benefits package

Positive work environment

Qualifications

• Minimum of 2 years’ experience in direct patient care.
• Strong working knowledge of MS Office Suite.
• Knowledge of private/public reimbursement or managed care experience.

Responsibilities

• Provide strategic direction and clinical expertise for clinical programs.
• Serve as clinical thought-leader on the Drug Plan Validation Committee.
• Review Prior Authorization requests and lead the Prior Authorization program.

Skills

Bilingual (English / French)

Analytical skills

Interpersonal skills

Presentation skills

Clinical expertise

Education

Bachelor's degree in Pharmacy

Tools

MS Office Suite

Job description

Clinical Pharmacist - Express Scripts Canada

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Clinical Pharmacist - Express Scripts Canada

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The primary role of this position is develop, manage, and deliver Express Scripts Canada pharmacy benefit management services and programs. The Clinical Pharmacist provides leadership to the Prior Authorization Program and collaborates with cross-functional committees to deliver high quality and clinically sound products and formularies. The role is responsible for contributing specialized clinical knowledge to the direction of existing and new products.

Essential Functions

• Provide strategic direction and clinical expertise to guide the implementation, communication, education and maintenance of clinical programs and formularies
• Serve as clinical thought-leader on the Drug Plan Validation Committee, providing knowledge transfer to Express Scripts Canada customers (insurance carriers and third party administrators) on complex clinical topics
• Provide leadership to the Prior Authorization program and review Prior Authorization requests, including gathering medical information, making coverage decisions, and communicating with patients, physicians or pharmacists as required
• Interact with internal and external customers to provide insights on pharmacy practice, drug trends, medical advances and legislation
• Ensure accurate, thorough, and timely documentation of patient status within the operations systems. Comply to ESC policies and procedures to safeguard personal information (PI) and personal health information (PHI).

Qualifications

Bachelor’s degree in Pharmacy; license to practice pharmacy in a province of Canada

Bilingualism (English / French) is an asset.

Minimum of 2 years’ experience in direct patient care, drug evaluation, and / or drug information activities

Strong working knowledge of MS Office Suite of tools, with database experience a plus

Knowledge of the private / public reimbursement or managed care experience would be considered an asset

Excellent interpersonal skills with demonstrated ability to communicate effectively, courteously, and tactfully

Superior analytical and problem-solving skills to identify opportunities to optimize reimbursement and improve health outcomes

Effective facilitation and presentation skills

Knowledge and experience in areas of Neurology / Multiple Sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Diseases, or Oncology.

Must be self-empowered and self-managed, but also must exhibit teamwork

Demonstrated ability to multi-task and adapt in a dynamic fast-paced work environment.

Le titulaire de ce poste doit principalement mettre au point, gérer et présenter les services de gestion des régimes d’assurance médicaments et les programmes de la pharmacie d’Express Scripts Canada. Le pharmacien clinicien doit également diriger le programme d’autorisation préalable et collaborer avec les membres des comités internes pour offrir les excellents produits et services cliniques de la pharmacie et pour élaborer des listes de médicaments. La personne recherchée devra utiliser ses connaissances cliniques afin d’offrir les produits existants et d’en mettre au point de nouveaux.

Responsabilités principales

Fournir l’orientation stratégique et l’expertise clinique nécessaires à la mise en œuvre, à la communication et à la gestion des programmes cliniques et des listes de médicaments, et sensibiliser les patients à ce sujet.

Agir à titre de spécialiste clinique au sein du comité d’évaluation des régimes d’assurance médicaments, transmettre ses connaissances aux clients d’Express Scripts Canada (assureurs et tiers administrateurs) sur des sujets cliniques complexes.

Gérer le programme d’autorisation préalable et examiner les demandes d’autorisation préalable, ce qui comprend la collecte de renseignements médicaux. Prendre les décisions liées à la couverture prévue par un régime et communiquer avec les patients, les médecins ou les pharmaciens, au besoin.

Interagir avec les clients internes et externes et leur fournir des renseignements utiles sur l’exercice de la pharmacie, les tendances en matière de médicaments, les progrès de la médecine et les lois.

S’assurer que les renseignements sur l’état des patients sont exacts, complets et consignés en temps voulu dans les systèmes de l’entreprise. Respecter les politiques et les méthodes d’Express Scripts Canada visant à protéger les renseignements personnels et les renseignements personnels sur la santé.

Qualification

Être titulaire d’un baccalauréat en pharmacie et d’un permis d’exercice de la pharmacie dans une province au Canada.

Être bilingue (anglais et français) constitue un atout.

Posséder un minimum de deux années d’expérience en soins directs aux patients, en évaluation des médicaments et être en mesure de communiquer des renseignements sur les médicaments.

Posséder des connaissances approfondies de la suite MS Office. Posséder des connaissances en bases de données constitue un atout.

Connaître les dispositions relatives aux remboursements offerts par les régimes privés ou publics ou posséder de l’expérience en gestion de soins de santé constitue un atout.

Présenter d’excellentes habiletés interpersonnelles et pouvoir communiquer de façon efficace, polie et avec tact.

Posséder des habiletés supérieures en analyse et en résolution de problèmes afin de déceler des occasions pour optimiser le remboursement des médicaments et d’améliorer les résultats sur le plan de la santé des patients.

Posséder de bonnes aptitudes en présentation et en animation.

Posséder des connaissances et de l’expérience en neurologie ou en sclérose en plaques, en rhumatologie, en dermatologie, en pneumologie, en gastro-entérologie, en maladies infectieuses ou en oncologie.

Être autonome, savoir bien gérer son temps et être en mesure de travailler en équipe.

Être en mesure d’effectuer plusieurs tâches dans un environnement dynamique et de s’y adapter.

Express Scripts Canada Is a Cigna Company

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

About Express Scripts Canada

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

If you require accommodation in completing the online application process, please email : [e-mail] Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

Seniority level

Seniority level

Entry level

Employment type

Employment type

Full-time

Job function

Job function

Health Care Provider

Industries

Hospitals and Health Care

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