Director - Full Time / À Temps Plein
2 weeks ago
it's about being part of a workplace that helps you grow and reach your full potential. Position Title: Director, Pharmacy Benefits
Reports To: Group Claims and Administration Vice President
Group Pharmacy Management
Term: Permanent Full-Time
You will work in our office in Waterloo, ON a minimum of two (2) assigned, consecutive days every other week, plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement and there may be some roles that are required to work in our office more than the minimum requirement.
We are looking for a Director, Pharmacy Benefits to join our Group Pharmacy Management team
We are looking for a dynamic leader, passionate about the world of drug benefits and committed to helping our clients, plan sponsors and plan members with their group benefit program needs.
As the Director of Pharmacy Benefits, your role is multifaceted and impactful.
Strategic Innovation: Drawing from your expertise, you craft and influence innovative strategies, processes, products, and solutions. These forward-thinking approaches enhance the drug benefit experience for our stakeholders.
Project Execution: Your exceptional planning, organization, and execution skills ensure successful project delivery. You navigate complexities with finesse, keeping projects on track.
In this pivotal role, you’ll shape the future of pharmacy benefits, leaving a lasting impact.
Lead and implement initiatives related to drug benefit programs in collaboration with various internal partners such as Strategic Health Management, Underwriting, Sales, Product, Finance, IT and Operations.
Generate, propose and execute on innovative solutions for drug program management and service delivery.
Manage drug-related projects from start to finish, ensuring that they meet the objectives, scope and budget.
Assess and monitor the impact of changes affecting our drug benefit program and proactively manage them to achieve positive outcomes for Equitable and our Clients.
Provide expert advice on drug related issues to Advisors, Sales, Service and Underwriting teams, as well as existing and potential clients, through online or in-person meetings.
Educate internal and external audiences on our drug benefits program offerings, features and trends, using methods such as training sessions, knowledge articles and other forums.
Analyze drug utilization data for specific clients and provide insights and recommendations based on the findings.
Collaborate with other experts to evaluate and mitigate the risk of fraud, waste and abuse that could compromise the integrity of our drug plans.
Monitoring and managing the workload and deliverables of the team to ensure they meet the deadlines, quality and performance expectations of our clients and the organization.
As the lead in our relationship with our Pharmacy Benefit Manager (PBM), you will have the following responsibilities:
Be the main point of contact and manage the communication and collaboration with our PBM.
Monitor and evaluate the contract performance and service quality of our PBM and resolve any issues or concerns that may arise.
Organize and lead quarterly meetings with our PBM to discuss strategic goals and operational performance tied to key metrics.
Provide evidence-based recommendations and lead the deliberation on the eligibility and criteria for drug plan coverage in accordance with Equitable's drug management strategy.
A deep understanding of group benefits pharmacy benefits program design and operation (3-5 years minimum) from a payer point of view.
Licensed pharmacist status preferred.
Health claims and data analysis skills an asset.
Familiar with pharmacy benefits regulations.
Project management skills and multitasking ability.
Business case and product specification writing skills.
Bilingualism an asset.
An additional paid volunteer day each year so you can spend time giving back to the community
Immediate enrollment in the company’s pension program with employer matching
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