Drug Plan Management Clinical Leader

Shape drug plan management and clinical programs at Express Scripts Canada in Mississauga, Ontario, through a hybrid contract assignment. Use pharmacy leadership and data analysis.This Manager, Prior Authorization and Drug Plan Management, leads Clinical Services work under the Director, Clinical Services. The role provides strategic direction for Prior Authorization, advises on clinical initiatives, and maintains accountability for service delivery. It also supports operational modernization through performance measures, process improvements, and sustainable client-facing services.Key Responsibilities:
Partner with the Director to establish team vision and strategyDevelop operational metrics for workload, productivity, quality, and trendsIdentify improvements reducing manual work and increasing team capacityReview clinical and plan information for coverage recommendationsDocument and communicate decisions to relevant stakeholdersRequirements:
Licensed Canadian pharmacist with pharmacy degree credentialsFive years in pharmacy benefits, insurance, or drug management preferredThree years managing teams, performance, coaching, and operationsAbility to analyze clinical, operational, and research dataFrench and English fluency is an assetUse clinical expertise, operational metrics, and change management to strengthen Express Scripts Canada’s drug plan services.
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