Pharmacy Services Representative - Benefit Services - 9 Month Term

About Manitoba Blue Cross

We’re a Manitoba-based, not-for-profit, health benefits provider with a vision to be the trusted and essential health and wellness partner for all Manitobans. Every dollar made is reinvested in our infrastructure, our people, and our province with the goal of providing better care for our members, expanding our community impact and broadening our health care knowledge.

Why work for us?

Manitoba Blue Cross, is a Manitoba Top Employer. We are empowered to give back to the community, and we know that caring needs to start in our workplace with our own Manitoba Blue Cross team. We actively foster a culture that focuses on your satisfaction, development, diversity, and growth.

Culture of Caring

We strive to succeed at reaching our organizational goals, but we always make time to celebrate our successes. Having fun as a group and rewarding our employees for their accomplishments is an essential part of our workplace culture.

We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace. We offer a work environment that promotes a healthy work-life balance and support to advance your career that includes:

• Competitive starting salary.
• A comprehensive health benefit package.
• Hybrid work environment, flexible work schedules.
• Fully equipped onsite fitness center.
• Casual dress code to promote diversity and inclusivity.
• Personal and professional development.

Are you a driven, dedicated, and enthusiastic individual who wants to work in a friendly and rewarding environment?  If so, we are looking for someone like you! The following position is open to anyone residing in Winnipeg and surrounding areas with valid work authorization. 

POSITION SUMMARY:

The Pharmacy Services Representative provides support to the Pharmacy Services and Provider Relations team as well as Member Services staff, Providers, and other Manitoba Blue Cross departments in addressing provider registrations, prescription drug claims, coverage and adjudication queries.

DUTIES AND RESPONSIBILITIES

• Provides support services to members, pharmacies and patient support programs for complex prescription drug coverage and claims adjudication inquiries
• Monitors Pharmacare registrations and follows up with members and pharmacies as required.
• Provides support in processing Special Authorization requests for medications and diabetic supplies in conjunction with the Team Lead, Pharmacy Services.
• Maintains BlueNet pharmacy providers.  Registers and coordinates agreements with new pharmacies and updates files as necessary. 
• Determines the eligibility of Providers for the Claims department, and eligibility for web registration.
• Contacts providers for claims information.
• Contacts Provider Associations to respond to Claims inquiries.
• Provides support to the Provider Relations team to assist with the maintenance of all Provider listings.
• Assists in the development of new procedures and job aides, when applicable.
• Performs other related duties as assigned.

QUALIFICATIONS AND SKILLS:

• Dedicated to the principles of exceptional service, committed to responding to, anticipating, and addressing customer needs, for both internal and external customers. 
• Post secondary degree, certificate, or diploma in Commerce or Business Administration or discipline related to Health Benefits industry.  Equivalent combination of education and 2 to 5 years’ experience may be considered.
• Excellent organizational skills with the ability to manage and prioritize several activities on an ongoing basis.
• Strong analytical, problem solving and mathematical skills.
• Exceptional interpersonal and communication skills (verbal and written).
• Strong computer skills including Word, Excel and e-mail software.
• Ability to work efficiently within prescribed time limits and specific deadlines.
• Initiative and ability to work independently as well as in a team setting.
• Capable of completing industry education programs entailing a self-directed study and the writing of graded examinations.  Specific programs include but are not limited to LOMA, CEBS, and ICA.  Enrollment in, and completion of, such courses will be encouraged.

Ready to Apply? We are excited to meet you!

If you would like to join our team, you are invited to apply by submitting your resume and cover letter by clicking the "Apply" button below by April 9, 2025.

To learn more visit: https://www2.mb.bluecross.ca/about-us/careers

We appreciate the interest expressed by all applicants and acknowledge the effort put into the application process, however only those selected for an interview will be contacted.

Manitoba Blue Cross is committed to the principles of diversity, equity & inclusion and to promoting opportunities in hiring for everyone. We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace.

We encourage all qualified candidates to apply.  If you require an accommodation during the hiring process, please let us know.