Clinical Services Associate (Pharmacy Technician or Assistant) - Express Scripts Canada

Clinical Services Associate (Pharmacy Technician or Assistant) - Express Scripts Canada

Location: Mississauga, ON

Remote Type: Hybrid

Time Type: Full time

Posted On: Posted 3 Days Ago

Job Requisition ID: 24013648

The Clinical Services Associate works closely with Clinical Pharmacists to manage the clinical formularies and programs. The Associate has a critical role in administering prior authorization requests, answering clinical questions from both internal and external clients, and retrieving and analyzing drug claims reports.

ESSENTIAL FUNCTIONS:

• Assist clinical pharmacists in the day-to-day management of clinical formularies and programs.
• Administer and review Prior Authorization requests according to service level agreement with external customers.
• Retrieve and organize new Notice of Compliance information from Health Canada.
• Manage the Clinical Services team mailbox and answer enquiries from both internal and external customers on issues including drug coverage, claims adjudication, formularies and programs, and provincial pharmacy legislation. Queries may lead to claims analyses, collaboration with cross-functional teams, and subsequent provision of recommendations to improve internal work processes, ensure alignment with legislation, and enforce ESC program philosophy.
• Prepare, organize, and distribute meeting materials for the Drug Evaluation Committee. Presentation of the materials is also required.
• Run and analyze drug claims for clinical programs and business projects. Support plan modeling requests as required.
• Assist drug plan management specialists with formulary updates.
• Assist with strategic initiatives and product development. This involves research, information gathering and data organization.
• Act as a resource for other ESC teams including Drug Plan Management, Drug Database, Marketing, and Customer Services.

QUALIFICATIONS:

• Bachelor’s degree in Science related field.
• Completion of pharmacy technician course (preferred).
• Pharmacy technician background – minimum 2 years in retail pharmacy or equivalent.
• Bilingual (French and English) an asset.
• Pharmacy benefit management experience considered an asset.
• Proficient in Microsoft Word, Excel, Access, Outlook, and PowerPoint.
• Knowledge of other computer systems considered an asset.
• Strong knowledge of pharmacy laws and regulations.
• Experience with drug names, drug schedules, pharmacy resources.
• Excellent Customer Service skills.
• Comfortable speaking with clients and other health care professionals (doctors, nurses, etc.).
• Able to multi-task and prioritize work.
• Strong focus on accuracy.

*Internal application deadline: October 27, 2024*

Express Scripts Canada is a Cigna company

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment.

It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

If you require accommodation in completing the online application process, please email: eschr2@express-scripts.com. Do not email eschr2@express-scripts.com for an update on your application or to provide your resume as you will not receive a response.

Doing something meaningful starts with a simple decision, a commitment to changing lives.

At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.

Join us in driving growth and improving lives.