DRUG ACCESS CASE MANAGER

WHO WE ARE

GreenShield is a proudly Canadian, national non-profit health care and insurance organization, driven by our mission of Better Health for All. We believe health care is a right, not a privilege, and we are committed to improving health outcomes, advancing health equity, and building a future where every Canadian can reach their full health and well-being potential.

Through our unique integrated payer-provider ("payvider") model, we offer insurance, administer benefits, and pay claims as a ‘payer’ while offering health care services such as mental health, pharmacy, telemedicine, and chronic disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess earnings to directly support underserved communities. Through GreenShield Cares, we positively impacted the health and well-being of over one million Canadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additional three million Canadians by 2030 – across mental health, essential medicines, and chronic disease management – through scalable initiatives that deliver meaningful change in pursuit of our mission of Better Health for All.

At GreenShield, our culture is where purpose meets passion and performance. Our teams work as one to deliver meaningful, measurable impact for the people and communities we serve.

THE ROLE IN A NUTSHELL

Base Salary: CAD $59,688.00 - 91,109.00

Reporting to the Manager of PBM Operations, the Drug Access Case Manager will develop and leverage processes, research available drug programs (federal, provincial or manufacturer), and act as a facilitator for plan participants to access alternative drug coverage prior to or instead of accessing the GSC administered drug plan.

OVERVIEW OF RESPONSIBILITIES:

Develop a process to research and document available drug programs that plan participants can access (includes public and other agencies).
Develop and leverage a process that facilitates the integration of GSC private drug plans with available alternative drug coverage (includes public and other agencies).
Provide direct drug access support to GreenShield Insurance and GreenShield Administration members
Act e as a liaison for GSC with prescribers and manufacturers’ Patient Support Programs
Partner with manufacturers to secure compassionate drug supply when appropriate
Work with thePBM Operations team and the PBM Data & Analytics team to develop metrics and evaluate on the “integration” of GSC drug plans with external alternative drug coverage.

WHO WE'RE LOOKING FOR

• Minimum 2 years of experience (including relevant co-ops or internships) in healthcare, preferably with experience in consulting, strategy, or project management in the Canadian public sector.
• Undergraduate degree required, preferably in Health, Business, or a related field.
• A genuine passion for healthcare and a strong willingness to learn.
• Experience and comfort operating in a complex, fast-moving organizational environment; with an openness to take feedback, grow, and adapt to evolving priorities.
• Skilled in stakeholder engagement and facilitation of group consensus and decision making.
• Must be detail-oriented with strong problem solving and critical thinking skills.
• Superior verbal and written communication skills and can present complex concepts clearly and effectively to senior leaders.
• Demonstrated commitment to social impact and health equity, reflected through volunteer work, extracurricular activities, or personal experiences supporting underserved populations.

Additional Assets:

• Professional fluency in French is highly desirable.
• Professional background in government, digital health, pharmacy, or health insurance sectors.
• Advanced academic training in both health sciences and management disciplines.
• Clinical experience and/or membership in good standing with a Canadian regulated health profession.

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.