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About the Role

The Provincial Drug Reimbursement Programs (PDRP) administers cancer drug and service case adjudication and funding programs. As part of the Clinical Institutes and Quality Programs (CIQP) portfolio, PDRP provides timely access to high-cost cancer treatments and services while ensuring the rational use of limited health resources. The Pharmacist provides authoritative advice to internal and external stakeholders, acting as a subject matter expert in a complex or technical field.

Responsibilities

Lead the clinical content development and implementation of new cancer drug funding policies.
Collaborate with internal stakeholders, Ontario Cancer Leads (OCLs), their respective disease site drug advisory committees, other Ontario Health-affiliated clinicians, the ministry, and other provincial cancer agencies.
Create and review funding and adjudication rules within eClaims, Ontario Health’s claims adjudication system.
Act as the primary point of contact for adjudication-related issues for internal and external stakeholders.
Support a team of Reimbursement Analysts who are the primary liaisons to over 80 hospitals/cancer centres.
Support the ongoing funding of cancer therapies and PDRP’s goal of making evidence-based, cost-effective treatments available to patients.
Support other PDRP staff with the assessment of systemic treatment clinical trials.
Provide secretariat support to the Ontario Steering Committee for Cancer Drugs (OSCCD).
Provide clinical expertise on submissions/items brought forth to the committee for review.
Provide content knowledge related to the management of oncology drug shortages.
Liaise with clinical experts and other provincial cancer agencies on developing conversation strategies and other risk mitigation measures.
Lead the timely implementation of new drug funding policies within NDFP, EBP and HCTFP.
Develop, revise, and implement policies, procedures, and quality improvement initiatives related to program operations.
Oversee the review of all cancer drug funding requests within population-based funding programs.
Assess prior approval requests submitted by hospitals along with appeals and/or resubmissions.
Support the communication strategy of the unit by liaising with PDRP staff/management, OH communications and ministry communications/public affairs.
Support the assessment of systemic treatment clinical trials to ensure alignment with cancer drug funding policies.
Provide cross-coverage across PDRP as required.
Provide operational support for CBCRP.
Provide subject matter expertise pertaining to the management of oncology drug shortages.
Other duties as assigned.

Requirements

A degree in Pharmacy and registration (Part A – can provide patient care) with the Ontario College of Pharmacists is required.
A minimum of three years of experience in oncology, either as a clinical pharmacist or in drug benefit management (or equivalent experience), is required.
All applicants must be a resident of Ontario to be considered for roles at Ontario Health.

Skills

Analytical Thinking & Problem Solving
Understanding of, and experience with the application of, evidence-informed practice is required.
Experience in critical appraisal and literature review is an asset.
Detailed understanding of cancer drug reimbursement in Ontario is strongly preferred.
Understanding of Ontario public drug reimbursement programs and knowledge of public healthcare systems is essential.
Excellent written and oral communication skills.
Capacity to engage, and a demonstrated ability to build relationships among clinicians and other stakeholders is required.
Ability to multi-task and prioritize assignments to meet deadlines.
Demonstrated ability to work independently and effectively in a team environment.
Ability to pivot quickly and be responsive to the ever-changing needs of the health care system.

Location

Ontario

Work Type

In-office
Temporary
Fixed Term
Full time

Experience Level

Minimum of three years of experience in oncology

Education Level

Degree in Pharmacy
Registration (Part A – can provide patient care) with the Ontario College of Pharmacists
Completion of a hospital pharmacy residency would be an asset

Salary/Compensations

Band 6

Benefits

Comprehensive health coverage from day one, with fully paid medical, dental, and vision benefits
Flexible health care or wellness spending accounts
Inclusive program to support your overall well-being
A premium defined benefit pension plan
Competitive vacation entitlement
Three personal days and two float days annually
Ongoing learning and career development opportunities

About the Company

Ontario Health is committed to developing a strong organizational culture that connects and inspires all team members across the province.
Our vision is that together, we will be a leader in health and wellness for all.
Our mission is to connect the health system to drive improved and equitable health outcomes, experiences and value.
Our values: integrity, inspiration, tenacity, humility and care.
A collaborative, values-driven workplace where integrity, care, humility, inspiration, and tenacity shape everything we do.
Opportunities to participate in Communities of Inclusion, fostering belonging, equity, and the sharing of diverse perspectives across our team.

Equal Opportunity

Ontario Health encourages applications from candidates who are First Nations, Métis, Inuit, and urban Indigenous; Francophone; members of Black and racialized groups; 2SLGBTQIA+ communities; trans and nonbinary individuals; and people living with disabilities.
Ontario Health is an accessible employer, and we offer accommodation in all aspects of employment, including the recruitment process.
If you require a disability related accommodation in order to participate in the recruitment process, please email careers@ontariohealth.ca and a member of the team will connect with you within 48 hours.