Job Description

WHO WE ARE
When it comes to health, we’re always looking for ways
to push for better. It’s why we were founded in the first place. In 1957, our
founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health
by forgoing her own medicine to pay for her sick daughter’s prescription. He
knew there had to be a better way. So, he introduced North America’s first
prepaid drug plan, and GreenShield was born as a non-profit with a mission
to support better health for all Canadians.

We aren’t just a health and benefits company. We’re
the only non-profit social enterprise that brings worlds of coverage and
care together, all in one place.
We’re noble challengers, purposefully building a better
way and we need the best people to help us create a more holistic approach that
takes care of the mind and body.

Our mission is to create better health for all
Canadians, and we know that starts with our employees.

THE
ROLE IN A NUTSHELL

Base Salary: CAD $51,383.00 - 79,261.00

The One Point Patient Care Specialist is the primary point of contact for assigned physicians and their patients enrolled in the patient support program. This role ensures seamless coordination of care from enrollment through therapy initiation and ongoing treatment. Acting as a patient advocate, the One Point Patient Care Specialist facilitates communication between patients, physicians, and the pharmacy team, while also navigating reimbursement pathways and ensuring timely access to therapy.

KEY RESPONSIBILITIES

Physician & Patient Communication

• Serve as the single point of contact for assigned physicians and patients.
• Provide ongoing updates to physicians regarding patient status and follow up to ensure continuity of care.
• Conduct welcome calls with new patients, gather relevant information, obtain consent, and introduce them to program offerings.
• Inform patients about available support services (case management, reimbursement support, self-injection training, prescription coordination, adherence support).
• Maintain professional, empathetic, and proactive communication to resolve client and patient issues.

Care Coordination & Patient Support

• Manage all patient starts from enrollment through therapy initiation.
• Ensure coordination of program services, including self-injection training and medication delivery.
• Contact patients periodically to confirm adherence and coordinate medication delivery schedules.
• Act as a patient advocate by exploring funding options, assisting with reimbursement processes, and supporting continuity of care.

Clinical & Reimbursement Expertise

• Maintain expert-level knowledge of assigned molecule(s).
• Demonstrate strong understanding of reimbursement mechanisms in public and private sectors, specifically within assigned territory.
• Administer financial means tests and manage all aspects of patient financial assistance, as applicable.
• Develop and maintain accurate documentation to support successful reimbursement outcomes.
  

Collaboration & Compliance

• Work collaboratively with Program Management, Patient Care Specialists, and Field/Case Managers to address escalations or interruptions in the patient journey.
• Ensure accurate and timely documentation in the CRM system.
• Report all Adverse Events (AE) and Product Technical Complaints (PTC) promptly in accordance with policies and procedures.

WHO WE'RE LOOKING FOR

• Post-secondary degree in healthcare, life sciences, nursing, pharmacy, or related field (or equivalent combination of education and experience).
• Minimum of 3–5 years of experience in patient support programs, case management, or specialty pharmacy setting (specifically reimbursement and patient data coordination).
• Strong understanding of reimbursement processes in Canadian healthcare (public and private).
• Excellent communication, organizational, and problem-solving skills.
• Demonstrated ability to work independently while collaborating effectively within a cross-functional team.
• Proficiency in CRM systems (at least one year of experience with Kroll preferred) and Microsoft Office Suite.
• Proficiency in Power BI preferred.
• Bilingualism (English/French) is considered a strong asset.s

THE CULTURE
We 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!

A
FEW MORE DETAILS
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 requestforaccommodation@greenshield.ca. 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.