CO-OP STUDENT - PHARMACY BENEFIT MANAGEMENT (PBM) (HYBRID)

Green Shield Canada; Toronto; Sur place; CAD 26 000 - 36 000; Temps partiel

Résumé du poste

Green Shield Canada (GSC) is seeking a motivated Co-op Student to join the Pharmacy Benefit Management (PBM) team. You will gain hands-on experience in data analysis, system testing, and documentation while learning how prescription drug claims are processed and adjudicated.

No pharmacy background is required; curiosity and strong organizational skills are valued. You will support PBM initiatives, contribute to projects aimed at improving operations, and help with day-to-day PBM activities.

Qualifications

• Enrolled in an accredited college or university.
• Enrolled in the co-op program at your college/university.
• Willingness to learn and strong organizational skills.

Responsabilités

• PBM technology: Supporting PBM system and application initiatives through data analysis, system testing, and documentation.
• Project work: Contributing to projects focused on operational improvements and process optimization within PBM, including documenting workflows.
• Drug claims adjudication: Learn how prescription drug claims are adjudicated in real time, understanding eligibility, formulary coverage, and pricing logic.

Connaissances

Data analysis

System testing

Documentation

Analytical mindset

Formation

Co-op program enrollment

Outils

Microsoft Excel

Microsoft PowerPoint

Description du poste

WHO WE ARE
When it comes to health, we’re always looking for waysto push for better. It’s why we were founded in the first place. In 1957, ourfounder, pharmacist William Wilkinson, witnessed a mother sacrifice her healthby forgoing her own medicine to pay for her sick daughter’s prescription. Heknew there had to be a better way. So, he introduced North America’s firstprepaid drug plan, and GreenShield was born as a not-for-profit with a missionto support better health for all Canadians.

We aren’t just a health and benefits company. We’rethe only not-for-profit social enterprise that brings worlds of coverage andcare together, all in one place.
We’re noble challengers, purposefully building a betterway and we need the best people to help us create a more holistic approach thattakes care of the mind and body.
Our mission is to create better health for allCanadians, and we know that starts with our employees.

THEROLE IN A NUTSHELL

Base Salary: $22.50 / hour

We are seeking a motivated and detail-oriented Co-op Student to join our Pharmacy Benefit Management (PBM) team. This role offers valuable hands-on experience in the healthcare and benefits industry, providing support across various PBM functions. Assignment includes data analysis and reporting, system testing and documentation, learning how prescription drug claims are processed, and assisting with projects and day-to-day operations of the PBM team.
As a Co-op Student, you will work alongside industry professionals to support the management of prescription drug plans, gaining practical exposure to how a PBM operates. No pharmacy background is required; we are looking for curiosity, strong organizational skills, and a willingness to learn.
Responsibilities:

• PBM Technology: Supporting PBM system and application initiatives through data analysis, system testing, and documentation. Reviewing and analyzing large datasets to identify trends, anomalies, and opportunities for investigation, and helping translate business needs into clear requirements for the technology team.
• Project Work: Contributing to projects focused on operational improvements, system enhancements, and process optimization within the PBM department, including documenting current workflows and identifying opportunities for efficiency and automation.
• Drug Claims Adjudication: Learning how prescription drug claims are adjudicated in real time, including how eligibility, plan design, formulary coverage, and drug rules determine whether a claim is paid or rejected. Building an understanding of common rejection and exception codes, pricing and dispensing fee logic, and how adjudication rules are configured, tested, and maintained in PBM systems.

WHO WE'RE LOOKING FOR

WHAT WE’RE LOOKING FOR

• Enrolled in an accredited college or university.
• Enrolled in the co-op program at your college/university.

NICE TO HAVE

• Microsoft Excel: Evaluation of skills related to data entry, data analysis, and proficiency in Excel functions such as VLOOKUP, SUMIF, Pivot Tables, and other formulas.
• Microsoft PowerPoint: Ability to create professional, clear, and engaging presentations, including experience with slide design, content organization, and visual storytelling.
• Interest in PBM landscape: Interest in understanding clinical concepts, including drug reviews, prior authorization criteria, and formulary management.

THE CULTURE

We believe a career should be meaningful. Not just ameans to earn a living. Our culture is one where everyone's voice is heard andvalued. Because that’s what it takesto create better health for all. We dare to challenge the status quo. And we’redriven by people who have challenged theirs. We believe that yourworkplace should empower you to be the best version of yourself. That’s why we provide aplace 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 arecritical to our overall success. Inclusivity makes us a stronger, smarter andmore informed organization. Being intentionally inclusive of diversebackgrounds, perspectives and experiences will enhance our company culture topositively impact how we support our communities. A career at GreenShield isn’t just about personalachievements, it's about making adifference together.
Here’s to Better Health for All!

AFEW MORE DETAILS

Proficiency in English is requiredfor this position. As part of this role, you will be required to communicatewith 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 ourorganization.

GS supports diversity, equity andinclusion in our teams and communities, and we value the unique contributionsmade by all. Even if your experience doesn’t align perfectly to everyrequirement, we invite you to apply. We encourage applications fromall candidates and will accommodate needs under human rights legislationthroughout all stages of the recruitment and selection process. Please let usknow of any accommodation through [e-mail]. Information received relating toaccommodation will be addressed confidentially.

Providing this information givesGS consent to use your personal information to assess your suitability forspecific positions, future opportunities or for your personnel file. Yourrésumé will be held in strict confidence and will be viewed only by theOrganization. Information may be stored outside of Canada and could be used foraggregate statistical purposes (which uses no personal identification).