The primary role of this position is develop, manage, and deliver Express Scripts Canada pharmacy benefit management services and programs. The Clinical Pharmacist provides leadership to the Prior Authorization Program and collaborates with cross-functional committees to deliver high quality and clinically sound products and formularies. The role is responsible for contributing specialized clinical knowledge to the direction of existing and new products.
Provide strategic direction and clinical expertise to guide the implementation, communication, education and maintenance of clinical programs and formularies
Serve as clinical thought-leader on the Drug Plan Validation Committee, providing knowledge transfer to Express Scripts Canada customers (insurance carriers and third party administrators) on complex clinical topics
Provide leadership to the Prior Authorization program and review Prior Authorization requests, including gathering medical information, making coverage decisions, and communicating with patients, physicians or pharmacists as required
Interact with internal and external customers to provide insights on pharmacy practice, drug trends, medical advances and legislation
Ensure accurate, thorough, and timely documentation of patient status within the operations systems. Comply to ESC policies and procedures to safeguard personal information (PI) and personal health information (PHI).
Bachelor’s degree in Pharmacy; license to practice pharmacy in a province of Canada
Bilingualism (English/French) is an asset.
Minimum of 2 years’ experience in direct patient care, drug evaluation, and/or drug information activities
Strong working knowledge of MS Office Suite of tools, with database experience a plus
Knowledge of the private/public reimbursement or managed care experience would be considered an asset
Excellent interpersonal skills with demonstrated ability to communicate effectively, courteously, and tactfully
Superior analytical and problem-solving skills to identify opportunities to optimize reimbursement and improve health outcomes
Effective facilitation and presentation skills
Knowledge and experience in areas of Neurology/Multiple Sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Diseases, or Oncology.
Must be self-empowered and self-managed, but also must exhibit teamwork
Demonstrated ability to multi-task and adapt in a dynamic fast-paced work environment.
About Express Scripts Canada
Express Scripts Canada, a registered business name of ESI Canada, an Ontario partnership indirectly controlled by Express Scripts, Inc. (Nasdaq: ESRX), is one of Canada’s leading providers of health benefits management services. From its corporate headquarters in Mississauga, Ontario, just outside Toronto, Express Scripts Canada provides a full range of integrated pharmacy benefit management (PBM) services to insurers, third-party administrators, plan sponsors and the public sector, including health-claims adjudication and processing services, Home Delivery Pharmacy Services, benefit-design consultation, drug-utilization review, formulary management, and medical and drug-data analysis services, to better facilitate the best possible health outcomes at the lowest possible cost.
It will be a condition of employment that the successful candidate receives the Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation in order 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.
Thank you for your interest in this position however, only qualified candidates will be contacted for an interview. No telephone calls please.