Clinical Pharmacist - Remote
Top Benefits
About the role
Reporting to Manager, Clinical Services, the Clinical Pharmacist is primarily responsible for key drug benefit management services including Formulary Management, Special Authorization, Drug Utilization Review and Client Education (e.g. webinars on provincial drug programs). In addition, the Clinical Pharmacist will also provide support to the Sales and Client Service departments through a variety of activities which includes responding to client-specific inquiries involving drug coverage and claims analysis.
Principal Responsibilities:
- Manage all tasks related to the maintenance of managed formularies to ensure service level agreement is met on a monthly basis. This includes new drug evaluations and special authorization criteria development.
- In collaboration with the Team Lead of Operations, ensure all tasks related to the day-to-day Special Authorization service are meeting service level expectations. This includes reviewing Special Authorization application evaluated by Clinical Coordinators.
- Review and update regularly internal process documents.
- Update knowledge base of provincial drugs programs to enhance coordination process with government programs for high-cost drugs.
- Provide supporting clinical expertise to clients by performing therapeutic cost-effective analysis, impact analysis and drug utilization reviews.
- Provide support to the ClaimSecure internal and external education initiatives e.g., developing presentations for provincial drug webinars and new drug reviews
- Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advances.
- Assist the Clinical Pharmacist Team Lead and the Clinical Services Manager in new product and process development.
- Participate as a contributor in business or system projects.
Knowledge, skills and experience:
- University Bachelor of Science in Pharmacy or Pharm D. Degree
- Currently in good standing with Ontario College of Pharmacists
- Strong Clinical Background
- Minimum 2 years of pharmacy experience in community/retail or hospital settings
- Experience working with pharmacoeconomic models and conducting cost-effectiveness analyses would be an asset
- Strong problem solving and analytical skills
- Excellent interpersonal and relationship building skills
- Excellent communication skills, both oral and written
- Strong computer skills and knowledge, including MS Office (e.g. Word, Excel, Outlook, PowerPoint)
- Bilingualism (English / French) would be an asset
Job Type: Full-time
Pay: $90,000.00-$95,000.00 per year
Benefits:
- Company events
- Disability insurance
- Employee assistance program
- Flexible schedule
- Life insurance
- RRSP match
- Vision care
Schedule:
- Day shift
- Monday to Friday
- No weekends
Experience:
- Pharmacist: 2 years (required)
Language:
- Bilingual (English/French) (preferred)
Work Location: Hybrid remote in Mississauga, ON L5B 1M2
About ClaimSecure
Canada's Most Experienced and Technologically Advanced Healthcare Management Firm:
Masters of advanced communication, adjudication and web-based services, ClaimSecure has spent more than 35 years building a solid reputation by providing industry expertise and customized health claims management solutions to thousands of Canadian corporations – and we have the infrastructure to prove it.
Our online claims technology and web-based administration platform are connected to almost every healthcare practitioner in the country, enabling us to deliver a consistent, cost-effective, worry-free experience. We support our customers with in-house business and healthcare professionals trained on assisting Clients in removing roadblocks and maximizing healthcare investment dollars. We offer Plan Members access to Canada's only fully automated communication adjudication matrix. This industry first technology issues real time text messages and alerts to Plan Members via their mobile/wearable devices with the goal of ensuring Members are immediately informed of claim status or coverage changes.
We currently process more than 10 million health and dental benefit transactions a year, totaling more than $1.3 billion. What's more, our adaptability to a changing environment means we're able to serve a diverse group of clients, including corporations, insurers, third party administrators, unions, associations, and other health benefit plan sponsors representing more than 1.2 million members and dependants in both the public and private sectors.
If you're looking for unique cost containment programs that drive value and savings, good news. You've found it!
Clinical Pharmacist - Remote
Top Benefits
About the role
Reporting to Manager, Clinical Services, the Clinical Pharmacist is primarily responsible for key drug benefit management services including Formulary Management, Special Authorization, Drug Utilization Review and Client Education (e.g. webinars on provincial drug programs). In addition, the Clinical Pharmacist will also provide support to the Sales and Client Service departments through a variety of activities which includes responding to client-specific inquiries involving drug coverage and claims analysis.
Principal Responsibilities:
- Manage all tasks related to the maintenance of managed formularies to ensure service level agreement is met on a monthly basis. This includes new drug evaluations and special authorization criteria development.
- In collaboration with the Team Lead of Operations, ensure all tasks related to the day-to-day Special Authorization service are meeting service level expectations. This includes reviewing Special Authorization application evaluated by Clinical Coordinators.
- Review and update regularly internal process documents.
- Update knowledge base of provincial drugs programs to enhance coordination process with government programs for high-cost drugs.
- Provide supporting clinical expertise to clients by performing therapeutic cost-effective analysis, impact analysis and drug utilization reviews.
- Provide support to the ClaimSecure internal and external education initiatives e.g., developing presentations for provincial drug webinars and new drug reviews
- Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advances.
- Assist the Clinical Pharmacist Team Lead and the Clinical Services Manager in new product and process development.
- Participate as a contributor in business or system projects.
Knowledge, skills and experience:
- University Bachelor of Science in Pharmacy or Pharm D. Degree
- Currently in good standing with Ontario College of Pharmacists
- Strong Clinical Background
- Minimum 2 years of pharmacy experience in community/retail or hospital settings
- Experience working with pharmacoeconomic models and conducting cost-effectiveness analyses would be an asset
- Strong problem solving and analytical skills
- Excellent interpersonal and relationship building skills
- Excellent communication skills, both oral and written
- Strong computer skills and knowledge, including MS Office (e.g. Word, Excel, Outlook, PowerPoint)
- Bilingualism (English / French) would be an asset
Job Type: Full-time
Pay: $90,000.00-$95,000.00 per year
Benefits:
- Company events
- Disability insurance
- Employee assistance program
- Flexible schedule
- Life insurance
- RRSP match
- Vision care
Schedule:
- Day shift
- Monday to Friday
- No weekends
Experience:
- Pharmacist: 2 years (required)
Language:
- Bilingual (English/French) (preferred)
Work Location: Hybrid remote in Mississauga, ON L5B 1M2
About ClaimSecure
Canada's Most Experienced and Technologically Advanced Healthcare Management Firm:
Masters of advanced communication, adjudication and web-based services, ClaimSecure has spent more than 35 years building a solid reputation by providing industry expertise and customized health claims management solutions to thousands of Canadian corporations – and we have the infrastructure to prove it.
Our online claims technology and web-based administration platform are connected to almost every healthcare practitioner in the country, enabling us to deliver a consistent, cost-effective, worry-free experience. We support our customers with in-house business and healthcare professionals trained on assisting Clients in removing roadblocks and maximizing healthcare investment dollars. We offer Plan Members access to Canada's only fully automated communication adjudication matrix. This industry first technology issues real time text messages and alerts to Plan Members via their mobile/wearable devices with the goal of ensuring Members are immediately informed of claim status or coverage changes.
We currently process more than 10 million health and dental benefit transactions a year, totaling more than $1.3 billion. What's more, our adaptability to a changing environment means we're able to serve a diverse group of clients, including corporations, insurers, third party administrators, unions, associations, and other health benefit plan sponsors representing more than 1.2 million members and dependants in both the public and private sectors.
If you're looking for unique cost containment programs that drive value and savings, good news. You've found it!