DRUG ACCESS CASE MANAGER

Green Shield Canada (GSC); Windsor; On-site; CAD 60,000 - 91,000; Full time

Job summary

GreenShield Canada (GSC) is seeking a Drug Access Case Manager to research drug programs and facilitate access to alternative coverage before using the company plan. You will support plan participants and coordinate with prescribers and manufacturers to ensure access where possible.

The role reports to the Manager of PBM Operations and involves working with PBM Operations and Data & Analytics teams to develop and monitor metrics for integration of GSC drug plans with external coverage.

Qualifications

• 2+ years of healthcare experience (co-ops/internships included).
• Strong communication and interpersonal skills for senior leader presentation.
• Ability to facilitate group consensus and manage multiple priorities.
• Interest in social impact and health equity.

Responsibilities

• Develop processes to research and document available drug programs for plan participants.
• Facilitate integration of private drug plans with external coverage (public/other agencies).
• Provide direct drug access support to GreenShield members.
• Liaise with prescribers and manufacturers’ Patient Support Programs.
• Partner with manufacturers to secure compassionate drug supply when appropriate.
• Collaborate with PBM Operations and Data & Analytics to measure integration metrics.

Skills

Healthcare experience

Stakeholder engagement

Communication

Problem solving

French language

Education

Undergraduate degree

Job description

WHO WE ARE

GreenShieldis a proudly Canadian, national non-profit health care and insuranceorganization, driven by our mission of Better Health for All.We believe health care is aright, not a privilege, and we are committed to improving health outcomes,advancing health equity, and building a future where every Canadian can reachtheir full health and well-being potential.

Throughour unique integrated payer-provider ("payvider") model, we offerinsurance, administer benefits, and pay claims as a ‘payer’ while offeringhealth care services such as mental health, pharmacy, telemedicine, and chronicdisease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excessearnings to directly support underserved communities. Through GreenShieldCares, we positively impacted the health and well-being of over one millionCanadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additionalthree million Canadians by 2030 – across mental health, essential medicines,and chronic disease management – through scalable initiatives that delivermeaningful change in pursuit of our mission of Better Health for All.

AtGreenShield, our culture is where purpose meets passion and performance. Our teams work as one to delivermeaningful, measurable impact for the people and communities we serve.

THEROLE IN A NUTSHELL

Base Salary: CAD $59,688.00 - 91,109.00

Reporting to the Manager of PBM Operations, the Drug Access Case Manager will develop and leverage processes, research available drug programs (federal,provincial or manufacturer), and act as a facilitator for plan participants to access alternative drug coverage prior to or instead of accessing the GSC administered drug plan.

OVERVIEW OF RESPONSIBILITIES

• Develop a process to research and document available drug programs that plan participants can access (includes public and other agencies).
• Develop and leverage a process that facilitates the integration of GSC private drug plans with available alternative drug coverage (includes public and other agencies).
• Provide direct drug access support to GreenShield Insurance and GreenShield Administration members
• Act e as a liaison for GSC with prescribers and manufacturers’ Patient Support Programs
• Partner with manufacturers to secure compassionate drug supply when appropriate
• Work with thePBM Operations team and the PBM Data & Analytics team to develop metrics and evaluate on the “integration” of GSC drug plans with external alternative drug coverage.

WHO WE'RE LOOKING FOR

• Minimum 2 years of experience (including relevant co-ops or internships) in healthcare, preferably with experience in consulting, strategy, or project management in the Canadian public sector.
• Undergraduate degree required, preferably in Health, Business, or a related field.
• A genuine passion for healthcare and a strong willingness to learn.
• Experience and comfort operating in a complex, fast-moving organizational environment; with an openness to take feedback, grow, and adapt to evolving priorities.
• Skilled in stakeholder engagement and facilitation of group consensus and decision making.
• Must be detail-oriented with strong problem solving and critical thinking skills.
• Superior verbal and written communication skills and can present complex concepts clearly and effectively to senior leaders.
• Demonstrated commitment to social impact and health equity, reflected through volunteer work, extracurricular activities, or personal experiences supporting underserved populations.

Additional Assets:

• Professional fluency in French is highly desirable.
• Professional background in government, digital health, pharmacy, or health insurance sectors.
• Advanced academic training in both health sciences and management disciplines.
• Clinical experience and/or membership in good standing with a Canadian regulated health profession.

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 takeso 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 thisposition, 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 (