Medication Reimbursement Specialist - TGH OP

Medication Reimbursement Specialist - TGH OP

• Contract
• Department:
  Pharmacy
• Compensation: CAD 35.28 - CAD 44.1 - hourly

UHN is Canada's #1 hospital and the world’s #1 publicly funded hospital. With 10 sites and more than 44,000 TeamUHN members, UHN consists of Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute, The Michener Institute of Education and West Park Healthcare Centre. As Canada's top research hospital, the scope of biomedical research and complexity of cases at UHN have made it a national and international source for discovery, education and patient care.

UHN has the largest hospital-based research program in Canada, with major research in neurosciences, cardiology, transplantation, oncology, surgical innovation, infectious diseases, genomic medicine and rehabilitation medicine. UHN is a research hospital affiliated with the University of Toronto.

UHN’s vision is to build A Healthier World and it’s only because of the talented and dedicated people who work here that we are continually bringing that vision closer to reality.

Union: Non-Union
New or Replacement: Replacement
Site: Toronto General Hospital
Department: Outpatient Pharmacy
Reports to: Manager
Wage Range: $35.28 - $44.10 per hour
Hours: 37.5 Hours per Week
Shifts: Monday to Friday
Status: Temporary Full-Time (12 Month Contract)
Closing Date: October 22, 2026

Position Summary
As an integral member of the Toronto General Hospital Outpatient Pharmacy team the primary focus of the Medication Reimbursement Specialist is to facilitate and coordinate the submission of application forms for access to medication assistance for outpatients. This job will serve as the centralized point of contact for physicians, nurses, social workers and pharmacists, and, will be actively involved with government, community based and private agencies that provide financial assistance for medications.

He/she will serve as an advisor to patients, families and health care providers regarding medication access and reimbursement.

Duties

• Communicate with patients, prescribers, healthcare professionals and other stakeholders to support patients through their treatment journey
• Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles, and prior authorizations.
• Gather and document information from patients/caregivers/prescribers in a concise, organized and professional manner
• Complete, submit and follow-up on requisite paperwork in a timely manner
• Liase with private and public insurance providers to determine coverage options
• Act as a central liaison for stakeholders such as physicians, pharmacists, nurses, other allied healthcare partners, patients, and clinics and provide required updates
• Maintain confidentiality of patient healthcare and financial information
• Keep up-to-date with changes in insurance coverage and reimbursement policies, and communicate these changes to healthcare providers and patients.

• At minimum, completion of a two year community college program in an Allied Health related discipline or recognized equivalent required
• At minimum, two years practical and related experience
• Minimum of 2 years' experience in outpatient pharmacy or related setting
• Knowledge and experience with public and private medication access/reimbursement programs and relevant agencies
• Advanced knowledge of pharmaceutical, or insurance industry
• Strong analytical and mathematical skills
• Ability to communicate effectively both verbally and in writing
• Effective interpersonal and leadership skills
• Effective organizational skills; attention to detail
• Ability to consistently meet deadlines
• Excellent problem-solving skills; ability to resolve issues effectively…