Hybrid Drug Benefits Strategist

Blue Cross; Saskatoon; Hybrid; CAD 90,000 - 115,000; Full time

Job summary

Saskatchewan Blue Cross is recruiting a full-time permanent Drug Benefits Strategist to join the Health & Dental Claims and Corporate Services team in Saskatoon or Regina, with the option for hybrid work. The role leads pharmacy benefit management initiatives and drives strategies that optimize plan performance and member outcomes.

The successful candidate will analyze clinical and economic evidence, manage formularies and reimbursement criteria, and collaborate with internal and external

Qualifications

• Completion of a Pharmacy Assistant Certificate or Pharmacy Technician Diploma, combined with experience working in a pharmacy setting is required.
• Experience in the insurance industry and completion of FLMI, CEBS, or ICA certificates would be considered an asset.
• Strong analytical, problem-solving, and decision-making skills with the ability to interpret complex information and make sound recommendations.
• Excellent organizational skills, attention to detail, and commitment to continuous learning and professional development.
• Proven ability to manage competing priorities, adapt to changing workloads, and meet deadlines in a fast-paced environment.
• Proficient with Microsoft 365 applications (Excel, Word) and ability to learn new systems quickly.
• Excellent written, verbal, and interpersonal communication skills; ability to build relationships with stakeholders.
• Legally entitled to work in Canada on an unrestricted basis.
• Criminal Record Check and background check satisfactory to Saskatchewan Blue Cross.

Responsibilities

• Develop and execute pharmacy benefit management practices, including maintenance and auditing of drug benefit lists and formularies.
• Evaluate clinical and economic evidence to support drug listing decisions for new and existing therapies.
• Analyze drug claims data, utilization patterns, and market trends to identify opportunities for plan innovation and cost management.
• Develop and share reporting, insights, and recommendations with internal stakeholders and partners.
• Support development of formularies, prior authorization criteria, reimbursement strategies, and other design controls.
• Research and recommend enhancements to systems and processes to improve member experience and adherence.
• Monitor regulatory and competitor trends to keep benefit programs competitive and compliant.
• Build and maintain relationships with pharmaceutical manufacturers, pharmacy partners, and healthcare professionals.
• Participate in cross-functional projects and organizational initiatives with expertise on drug benefit inquiries and appeals.
• Champion change initiatives and communicate effectively with stakeholders.
• Ensure compliance with policies and regulations; contribute to business priorities.
• Perform other related duties as assigned.

Education

Pharmacy Assistant Certificate or Pharmacy Technician Diploma

FLMI, CEBS, or ICA certificates (asset)

Job description

Saskatchewan Blue Cross is recruiting a full-time permanent Drug Benefits Strategist to join the Health & Dental Claims and Corporate Services team in Saskatoon or Regina, with the option for hybrid work. The role leads pharmacy benefit management initiatives and drives strategies that optimize plan performance and member outcomes.

The successful candidate will analyze clinical and economic evidence, manage formularies and reimbursement criteria, and collaborate with internal and external