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
Base Salary:
CAD $51,383.00 - 79,261.00
******This posting is intended to build a pipeline of qualified candidates in anticipation of the growth our Pharmacy team is forecasting across the country. While there may not be an immediate opening, we encourage you to apply so we can connect when a suitable opportunity arises.*******
Reporting to the Lead, Patient Support Programs (PSP) & Preferred Pharmacy Network (PPN), the Bilingual PSP Case Manager provides national support to Canadian patients living with chronic or rare conditions by ensuring patients have access to their prescribed treatments in a timely manner and improve their quality of life. The Bilingual PSP Case Manager provides enrolment and reimbursement assistance, manages financial assistance activities, provides patients with disease state education, performs case management and healthcare services to patients, their dependents and the patient’s direct circle of care for specific prescribed molecules. The Case Manager manages Special/Prior Authorizations at both the private and public payer-levels with submissions pertaining to obtaining drug reimbursement and coverage through private and provincial drug formularies.
Primary Duties and Responsibilities:
Assist prescribing physicians with the completion of patient enrolments, gathering all pertinent information to complete private and/or provincial insurance forms
Liaise with insurance and healthcare providers as well as provincial governments as necessary to determine coverage options
Review patient charts (paper or electronic)
Complete welcome call activities with the patient according to defined program Standards of Practice (SOP)
Facilitate any required communication with physicians, patient support programs, or other healthcare professionals in the patient’s circle of care
Work closely with the manufacturer’s sales resources to support specific physician and staff needsOffer and provide educational training to patients and physicians on specific product’s administration as aligned to the approved Health
Canada product monograph
Act as a central resource for program stakeholders, which includes but not limited to physicians, nurses, patients, clinics, pharmacists, lab technicians, etc.
Ensure patient records are meticulously maintained and data is accurate in order to meet program reporting requirements
Leverage Pharmacovigilance knowledge and identify Adverse Events (AEs) / Product Quality Complaints (PQCs) and report according to predefined Health Canada and manufacturer expectations
Utilize nursing processes, through critical thinking, problem solving and decision making to proactively manage assigned patients who require case management services
Effectively navigate, teach, counsel, coach, support, direct and advocate as required on specific diseases, therapies and disease management
Provide adherence and persistency case management as required by the program
Utilize multiple software applications including CRM
Participate in quality activities and support continuous improvement of programs
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
WHO WE'RE LOOKING FOR
Fully Bilingual in French and English (fluently read, write and speak) - Strongly preferred.
Possess strong clinical expertise and experience in a range of health conditions
A university degree in a health-related field
5+ years PSP or case management experience ideally
Understanding of provincial and private coverage criteria and how to navigate the Canadian drug coverage landscape
Familiarity with the Special / Prior Authorization process with both public and private insurance
Familiarity and knowledge of Health Canada Pharmacovigilance requirements
Proven ability to work effectively as part of an interdisciplinary team and demonstrate competence in performance of case management, providing patient education, virtual assessments / interventions and documentation
Excellent organizational, problem-solving, decision making, conflict resolution and critical thinking abilities
Excellent interpersonal, listening and communication skills (written and verbal), ability to direct conversations and target specific issues
Tech savvy with fundamental knowledge of Microsoft Office and other tools
Self-regulation of time management and the ability to multi-task and adhere to deadlines
Familiarity with Provincial (e.g. Personal Health Information Protection Act) and Federal (e.g. Consumer Privacy Protection Act) privacy laws
Location & Hours:
Location: Effective May 25, 2026, the Greenshield Specialty Care Program will relocate to a new address: 6975 Creditview Road, Unit 4, Mississauga, ON, L5N8E9.
Hybrid work from home & office; 3 days / week in office in Mississauga
Program Hours of Operation: 8am to 8pm – available shifts 8-4, 9-5, 10-6, 12-8
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 [email protected]. 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).
AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.