Pharmacy Partner, Adjudication - Hybrid

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 Green Shield 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 all Canadians, and we know that starts with our employees.

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Greenshield Administration provides innovative health benefit solutions for the small-mid size companies in Canada. Recognized as the leading alternative to the traditional insurance companies, in a market where small and mid-sized employers have been largely underserved

Greenshield Administration sets itself apart from the competition, by using technology, creative product development anda stellar customer experience to solve problems for employers. Honeybee Benefits is our next generation benefits platform built for today’s modern workforce that empowers employers to compete better for talent.

This role is accountable for supporting Green Shieldadministrationpartnersfrom a pharmacy benefit management (PBM) perspective. This work includes developing PBM-related strategiesanddevising and leading PBM projects to support the Green Shieldadministrationbusinesspartners.

• Develop & manage relationships with
  
  Green
  
  Shield Administrationpartnersin supporting the PBM business
• Supportpartnerswith the launch of Green
  
  Shield
  
  PBM initiatives
• Represent Green Shield ’sPBM on proposals and finalistsfor new businesswhererequired
• Devise and lead PBM projects to support thegrowth ofthe
  
  Green Shield Administrationbusiness
• Participates in Green Shield’s Pharmacy & Therapeutics Committee; acts as a subject matter expert bringing to inform drug benefit evaluation and listing decisions.
• Provides guidance on formulary development, drug benefit administration and drug claims adjudication while ensuring compliance with regulatory requirements.
• Staying informed about market trends, competitor activities, and pharmaceutical manufacturer landscape toidentifyopportunities for improvement and growth.
• Working closely with internal teams, such as operations, sales, marketing, and supporting functions, to ensureoptimalproject and program delivery.
• Attends and/orrepresents
  
  Green
  
  Shield at conferences and other industry events

We’renotlooking for just anyone.

We’relooking for a unique individual with a big brain and a big heart who wants to help us create better health for all Canadians.

• BScPharmor greater
• 5+ yearsof experience within pharmacy benefit management or related field
• Strong working knowledge of the regulatory and competitive environment for prescription drugs and pharmacy benefits; awareness and ability toanticipatekey trends
• Strong project management and organizational skills.
• Analytical and problem-solving skills, with the ability to interpret data and make data-driven decisions.
• Excellent communication, interpersonal, and presentation skills.
• Ability to build andmaintainstrong relationships with diverse stakeholders.
• Ability to travel when required

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 your workplace 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…