Clinical Drug Coverage Analyst

Apply pharmacotherapy knowledge remotely from Edmonton as a Special Authorization Analyst II assessing medication coverage requests. Support timely member access through clinical judgment.

At Alberta Blue Cross, this full-time analyst position evaluates Special Authorization requests using evidence-based guidelines and member needs. You will interpret clinical information, accepted medical conditions, and plan criteria. The work supports accurate coverage decisions, claims adjudication, and continuity of medication access.

Key Responsibilities:

• Assess requests and determine eligibility for requested drug therapies
• Interpret clinical information and plan criteria accurately
• Document decision rationale in Alberta Blue Cross systems
• Prepare correspondence for prescribers and subscribers
• Explain outcomes, requirements, and next steps professionally

Requirements:

• Post-secondary education in pharmacy, pharmacology, nursing, or related disciplines
• Knowledge of pharmacotherapy, disease states, and treatment guidelines
• Strong analytical, problem-solving, and decision-making skills
• Microsoft Word and Excel proficiency; Access experience is an asset
• Availability for rotating weekdays, weekends, and statutory holidays

Use clinical analysis, medication knowledge, and clear communication to support thoughtful coverage decisions for Alberta Blue Cross members.