Drug Plan Management Specialist - Express Scripts Canada

The Drug Plan Management (DPM) Specialist is responsible for the development and setup of new drug plans and for the maintenance of existing drug plans and formularies as instructed by customers. As a member of the Drug Database and Plan Management department the DPM Specialist maintains the quality assurance program for drug plan management processes, collaborates with the Clinical Services and Drug Database teams to provide recommendations on new drugs to customers for their drug plan and responds to drug plan management issues received by Customer Services and the Call Centre.

Essential Functions:

• Reviews, analyzes, develops and maintains drug plans for new group installations and contract modifications by identifying drugs to be covered with the use of new or revised drug plans to meet the groups requirements. Collaborates with Express Scripts Canada staff (i.e. Customer Services, Information Systems, Drug Database, and Clinical Services) and customers to complete requests within standard turnaround times
• Completes the process documentation for new drug plans. Ensures that customers receive completed and accurate documentation within expected timelines
• Maintains formularies and closed drug plans for customers each month by following documented processes to ensure that decisions for drug additions/removals meet group plan contract requirements
• Assists in the maintenance of standard drug plan designs as a result of revisions such as legislation/ industry standard revisions, or in group transfers to Express Scripts Canada
• Performs the quality assurance steps for drug plan management processes for work completed by another DPM Specialist to ensure that completed work accurately reflect plan design specifications
• This includes the review of drug plan design forms, drug exception requests, and Express Script proprietary drug classification data
• Provides support to Customer Services and the Call Centre to respond to queries regarding plan design specifications
• Participates in educational and training programs, both internally and externally. Regularly attends internal Drug Evaluation Committee (DEC) meetings to provide perspective for new drugs currently reviewed

Qualifications:

• 2+ years working experience as a Pharmacy Technician within a hospital and or community setting
• CPHT designation is preferred
• Strong working knowledge of provincial drug plans and range of products offered within a pharmacy
• Proficient with Microsoft Office Suite of tools (Word, Excel, Outlook)
• Must be detail oriented with strong organizational abilities
• Demonstrated familiarity with drug nomenclature and pharmacy practice in Canada
• Excellent interpersonal skills with the ability to communicate effectively and tactfully
• Ability to work independently and amongst team members
• Bilingualism (French & English) is an asset  
• NOTE: Internal candidates should apply before October 23, 2025.
• Strong working knowledge of provincial drug plans and range of products offered within a pharmacy
• Proficient with Microsoft Office Suite of tools (Word, Excel, Outlook)
• Must be detail oriented with strong organizational abilities
• Demonstrated familiarity with drug nomenclature and pharmacy practice in Canada
• Excellent interpersonal skills with the ability to communicate effectively and tactfully
• Ability to work independently and amongst team members
• Bilingualism (French & English) is an asset  
• NOTE: Internal candidates should apply before October 23, 2025.

Express Scripts Canada is a Cigna company

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

About Express Scripts Canada

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

If you require accommodation in completing the online application process, please email: eschr2@express-scripts.com Do not email eschr2@express-scripts.com for an update on your application or to provide your resume as you will not receive a response.