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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Pharmacy Benefit Management, including claim adjudication principles and formulary management, while maintaining data accuracy and compliance in a healthcare environment. Proficient in SQL and Microsoft Excel for data analysis and documentation of complex business processes.
Highest-signal resume keywords
Pharmacy Benefit Management ExperienceClaim Adjudication PrinciplesAdvanced Microsoft Excel ProficiencySQL or Database Query Tools KnowledgeBilingual Proficiency in French and English
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim AdjudicationFormulary ManagementData ValidationDatabase Accuracy MaintenanceSQL QueriesMicrosoft ExcelPivot TablesVLOOKUPData RetrievalDocumentation
Soft Skills
Strong Written CommunicationStrong Verbal CommunicationOrganizational SkillsPlanning SkillsAttention to Detail
Tools & Technologies
TELUS Health SystemsPharmacy Benefit Management Platforms
Certifications & Qualifications
Post-Secondary Diploma in PharmacyHealthcare Administration Certification
Industry Keywords
Healthcare EnvironmentDrug InformationBusiness AnalystPharmacy OperationsRegulated Environment
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Maintain database accuracy by adding, updating, and validating drug information for Health Canada-approved products and provincial PINs in the TELUS system
- Use database UI entry and SQL queries to prevent claim processing errors
- Create and maintain formularies, price files, categorization rules, and lists for pharmacy benefit management claim adjudication
- Establish standardized business process documentation covering workflows, decision trees, and system requirements
- Respond to complex drug pricing, plan coverage, and formulary inquiries from internal teams and external stakeholders within established SLAs
- Maintain comprehensive documentation of inquiries and responses
- Collaborate with pharmacy operations, compliance, and system administrators to implement updates
- Troubleshoot claim adjudication issues and optimize data quality processes
Requirements
What you’ll need- Pharmacy Benefit Management (PBM) experience with demonstrated knowledge of claim adjudication principles, formulary management, and pharmacy benefit systems
- 1–3 years of experience in a comparable business analyst, pharmacy operations, or drug information role
- Advanced proficiency with Microsoft Excel, including pivot tables, VLOOKUP, data validation, and formula development
- Strong written and verbal communication skills, with ability to document complex business processes clearly and concisely
- Excellent organizational and planning skills with ability to prioritize multiple tasks and adapt quickly to changing requirements
- Working knowledge of SQL or database query tools for data retrieval and validation
- Meticulous attention to detail and commitment to data accuracy in a regulated healthcare environment
- Bilingual proficiency in French and English, with ability to communicate complex drug information in both languages
- Post-secondary diploma or certification in pharmacy, healthcare administration, or a related field
- Experience with TELUS Health systems or other pharmacy benefit management platforms
Benefits
Comp & perks- Competitive salary and bonus structures
- Minimum 3 weeks of vacation
- Flexible benefits plan
- Flexibility to work in-office, virtually or a combination of both, based on the role's requirements
- Company matched pension program
- Share purchase program
- Opportunity to give back to communities
- Career growth and learning & development opportunities