WHO WE ARE

When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.

We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place.
We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.

Our mission is to create better health for all Canadians, and we know that starts with our employees.

THE ROLE IN A NUTSHELL

A Specialty Care Program Care Coordinator (CC) provides support, education and health care services to private payor’s plan members and their dependents.
As the primary point of contact for patients and their circle of care, you will provide Specialty Care Program services such as plan member navigation into network pharmacies, troubleshooting network pharmacy inquiries, managing exception requests, assessing patient adherence based on validated questionnaires, patient education and health coaching. This position reports into the PSP/PPN Lead.

What you will do?

• Telephone support: Provide Patients with telephone support services that enable CC’s to respond to questions relating to patients, program, network pharmacies and Patient Support Programs (PSPs) that relate to the Specialty Care Program details, network pharmacy issues with PSP copay assistance, patient inquires and questions. Calls include identifying issues, troubleshooting various solutions, and providing SME level information.

• Coordination of Specialty Drug Care Program services: Navigate and coordinate with in-network pharmacies for the dispensing of prescribed drugs that have been included in the PPN patients, including coordination with the patient’s HCPs and PSP.

• Adherence Support services: Complete an initial assessment with patients, to investigate if they are taking their medication as prescribed. Refer any pts that are assessed as medium to low adherence to the Nurse Case Manager for follow up.

• Program materials: Coordinate the distribution of program related materials (e.g. letters, faxes, etc.) to Patients, HCPs, and PSPs.

• Confidentiality: Maintain the confidentiality of all information that relates to the GS Specialty Drug Care program generally and Patients specifically.

• Review and validate health information provided by patients and physicians for accuracy and completeness to ensure initiation and continuation of services. Information can be obtained by telephone, fax, text and email directly from patients, the patients’ physicians and patient support programs.

• Utilize multiple software applications including proprietary Patient Management System.

• Ensure compliance with provincial/federal privacy legislation.

• Participate in on going internal and/or external continuing education activities.

• Adhere to GreenShield Pharmacy’s Polices, Processes and Procedures.

• Participate in quality activities and continuous improvement initiatives.

WHO WE'RE LOOKING FOR

• A university/college degree, preferably in a health-related field
• Possess strong clinical expertise and experience in a range of health conditions
• 2 + years case management experience
• Proven ability to work effectively as part of an interdisciplinary team, demonstrate competence in performance of case management, providing patient education and documentation.
• Excellent organizational, problem-solving, conflict resolution and critical thinking abilities.
• Excellent interpersonal, listening and communication skills (written and verbal), ability to direct conversations and target specific issues.
• Proficient in using technology including: computers and software programs
• Self-regulation of time management and the ability to multi-task and adhere to deadlines
• Familiarity with PIPEDA and how it applies to confidential patient information

Location: WestMall
Hours of Operation: 9am to 5pm

THE CULTURE

We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven 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 a place 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 are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together.

Here’s to Better Health for All!

A FEW MORE DETAILS

Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.

GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through requestforaccommodation@greenshield.ca. Information received relating to accommodation will be addressed confidentially.

Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).