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About the Role
This role offers valuable hands-on experience in the healthcare and benefits industry, providing support across various Pharmacy Benefit Management (PBM) functions. The assignment includes data analysis and reporting, system testing and documentation, learning how prescription drug claims are processed, and assisting with projects and day-to-day operations of the PBM team. You will work alongside industry professionals to support the management of prescription drug plans, gaining practical exposure to how a PBM operates.
Responsibilities
- Supporting PBM system and application initiatives through data analysis, system testing, and documentation.
- Reviewing and analyzing large datasets to identify trends, anomalies, and opportunities for investigation.
- Translating business needs into clear requirements for the technology team.
- Contributing to projects focused on operational improvements, system enhancements, and process optimization within the PBM department.
- Documenting current workflows and identifying opportunities for efficiency and automation.
- Learning how prescription drug claims are adjudicated in real time, including how eligibility, plan design, formulary coverage, and drug rules determine claim outcomes.
- Building an understanding of common rejection and exception codes, pricing and dispensing fee logic, and adjudication rule configuration, testing, and maintenance in PBM systems.
Requirements
- Enrolled in an accredited college or university.
- Enrolled in the co-op program at your college/university.
- Proficiency in English is required for this position.
Skills
- Data entry
- Data analysis
- Excel functions (VLOOKUP, SUMIF, Pivot Tables, other formulas)
- Creating professional, clear, and engaging presentations
- Slide design
- Content organization
- Visual storytelling
- Understanding clinical concepts (drug reviews, prior authorization criteria, formulary management)
Work Type
- Co-op Student
Experience Level
- Co-op
Education Level
- College or University enrollment
Salary/Compensations
- $22.50 / hour
About the Company
- GreenShield is a not-for-profit social enterprise that brings worlds of coverage and care together.
- Founded in 1957, GreenShield introduced North America's first prepaid drug plan.
- The company's mission is to create better health for all Canadians.
- GreenShield believes a career should be meaningful and that the workplace should empower employees.
- The company culture values inclusivity, diverse backgrounds, perspectives, and experiences.
Equal Opportunity
- GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all.
- 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.