Business Development Manager - Claims Solutions - Hybrid

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 NUTSHELLIn this role, you will be responsible for identifying and pursuing new business opportunities, developing strategic relationships, and driving revenue growth within the claims management and benefits administration sector. You will work closely with internal teams, stakeholders, and clients to create tailored solutions, support the sales process, and contribute to the overall growth and success of the organization.
Key Responsibilities:Identify and prospect potential clients within the claims adjudication and benefits administration, including insurance companies, healthcare providers, third part payers and third-party administrators (TPAs).Develop strong, trusted relationships with executives and decision‑makers within prospect organizations. Serve as a strategic advisor, understanding their unique business challenges and tailoring solutions that align with their goalsSupport the implementation process and maintain long‑term relationships with new clients, acting as the primary point of contact for business development inquiries.Conduct market research to identify industry trends, customer needs, competitor activities, and new opportunities for growth.Develop and implement a business development strategy aligned with the company’s goals and objectives in the claims adjudication and administration services.Collaborate with internal teams to create tailored proposals, presentations, and RFP responses that address clients’ needs and highlight the value of our claims and administration solutions.Explore partnership opportunities with industry stakeholders, such as technology providers, consultants, and strategic partners, to enhance our service offerings and expand the client base.Lead negotiations with clients, ensuring mutually beneficial agreements are reached while maintaining profitability.Manage and maintain a multi‑million dollars pipeline with accurate sales forecasts, track business development progress, and report to senior management on key performance indicators (KPIs) and sales activities.Work closely with cross‑functional teams, including operations, product development, and customer support, to ensure seamless service delivery and client satisfaction.Stay updated on industry regulations, trends, and best practices to provide knowledgeable insights to clients and support the company’s thought leadership in claims administration.Partner closely with the Client Management team to ensure seamless client onboarding and support cross‑departmental initiatives that enhance the overall client experienceIdentify and leverage opportunities to cross‑sell other GreenShield services, such as Health Services, Employee AssistancePrograms (EAP), and Virtual Healthcare solutions, to existing clients.
WHO WE'RE LOOKING FORMinimum of 10 years of experience in business development, sales, or account management within the claims adjudication, insurance, or healthcare administration industries.Bachelor’s degree in administration, Marketing, Healthcare Management, or a related field.In‑depth knowledge of claims adjudication, claims administration, insurance processes, and regulatory frameworks in the relevant sector.Proven ability to develop and execute business development strategies, close deals, and achieve sales targets.Excellent verbal and written communication skills, with the ability to engage and influence senior‑level decision‑makers.Strong interpersonal skills and the ability to build and nurture relationships with clients, partners, and stakeholders.Strong problem‑solving abilities with a demonstrated track record of negotiating complex contracts and managing client expectations.Travel as needed for client meetings, conferences, and industry events.Demonstrated ability to multitask, maintain attention to detail and prioritizeTechnologically agile, adept in learning and integrating new applications and platformsBilingual (English/French) is an asset.
Proficiency in English is considered a significant asset for this position, as the incumbent will sometimes interact, both verbally and in writing, with English and French‑speaking clients and partners as part of business development activities, including presentations, commercial follow‑ups, and the management of business relationships.
THE CULTUREWe 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!
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 View email address on ca.hrm.tc. 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.
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