Drug Access Case Manager

WHO WE ARE

GreenShieldis a proudly Canadian national non-profit health care and insuranceorganization driven by our mission of Better Health for believe health care is aright not a privilege and we are committed to improving health outcomesadvancing 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. Whats driving us now is the commitment to measurably impact an additionalthree million Canadians by 2030 across mental health essential medicinesand 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 $59688.00 - 91109.00

Reporting to the Manager of PBM Operations the Drug Access Case Manager willdevelop and leverage processes research available drug programs (federalprovincial or manufacturer) and act as a facilitator for plan participantsto access alternative drug coverage prior to or instead of accessing the GSCadministered drug plan.

OVERVIEW OFRESPONSIBILITIES:

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 WERE 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 everyones voice is heard andvalued. Because thats what it takesto create better health for all. We dare to challenge the status quo. And weredriven by people who have challenged theirs. We believe that yourworkplace should empower you to be the best version of yourself. Thats 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 isnt just about personalachievements its about making adifference together.

Heres 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 rolescollaborate 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 doesnt 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 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).

AI Usage - GreenShield leverages AI to help produce Job Descriptions and ideate on interview questions. We also leverage AI for interview transcription support.

Required Experience:

Manager