Director, Clinical Services, Directeur, Services Cliniques

2 days ago


Mississauga, Canada Cigna Health and Life Insurance Company Full time

**Location:** Mississauga, ON **Employment Type:** Full-time* Bachelor of Science in Pharmacy from an accredited school, with an active license to practice pharmacy in Canada.* 10+ years of relevant industry experience in pharmacy benefit management and/or the health insurance industry.* 3–5 years of senior leadership experience, with a proven ability to lead multidisciplinary clinical teams.* Strong expertise in formulary management, utilization management, prior authorization, and clinical program development* Exceptional communication and analytical skills, with the ability to translate complex clinical concepts for diverse stakeholders.* Demonstrated ability to drive strategic planning, operational excellence, and continuous quality improvement.* Competitive compensation, benefits and pension plan* Career development and advancement opportunities* A culture that celebrates innovation and collaboration* Flexible work options and wellness programsExpress Scripts Canada est le chef de file en matière de gestion de régimes de soins de santé. Nous offrons des services à plus de 12 millions de participants et nous aidons les assureurs, les tiers administrateurs et le secteur public à optimiser la valeur des régimes de soins de santé en utilisant notre expertise professionnelle, nos systèmes de pointe en gestion de l’information ainsi que notre technologie. Express Scripts Canada est une filiale en propriété exclusive d’Express Scripts, l’un des plus importants gestionnaires de régime d’assurance médicaments en Amérique du Nord qui fait partie du Cigna Group (NYSE: CI), une société mondiale de soins de santé. Ensemble, nous offrons des solutions novatrices et efficientes qui améliorent l’accès, l’abordabilité et les résultats sur le plan de la santé pour les Canadiens.* Diriger les activités quotidiennes des Services cliniques, y compris l’encadrement et la gestion du rendement.* Surveiller les indicateurs de rendement opérationnels et mettre en œuvre des améliorations des processus, de l’automatisation et des gains d’efficacité.* Superviser les analyses cliniques complexes, les demandes d’appel et les cas demandant l’intervention d’un échelon hiérarchique supérieur, en veillant à ce que les décisions soient prises en temps opportun et justifiées sur le plan clinique.* Respecter les critères cliniques, la documentation relative aux listes de médicaments et les exigences réglementaires.* Diplôme universitaire en pharmacie d’une école reconnue, avec un permis d’exercice de la pharmacie valide au Canada.* Plus de 10 ans d’expérience pertinente dans le secteur de la gestion des services de gestion des régimes d’assurance médicaments et (ou) de soins de santé.* De 3 à 5 ans d’expérience en direction d’équipe, avec une capacité avérée à diriger des équipes cliniques multidisciplinaires.* Solide expertise en matière de gestion des listes de médicaments, de gestion de l’utilisation des médicaments, d’autorisation préalable et d’élaboration de programmes cliniques.* Excellentes aptitudes en communication et en analyse, avec la capacité d’expliquer des concepts cliniques complexes à divers intervenants.* Capacité avérée à diriger la planification stratégique, l’excellence opérationnelle et l’amélioration continue de la qualité.* Rémunération, avantages sociaux et régime de retraite concurrentiels* Perfectionnement et avancement professionnels* Une culture qui célèbre l’innovation et la collaboration* Conditions de travail souples et programmes de mieux-être**Express Scripts Canada is a Cigna company**Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.**About Express Scripts Canada**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. We provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.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.
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