Analyst II - Clinical Drug Services

Alberta Blue Cross•Edmonton, AB

3d•Onsite

About The Position

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision. Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth. OVERVIEW: We currently have multiple career opportunities for an Analyst II in our Clinical Drug Services department. This position is responsible for delivering exceptional Special Authorization service to our customers, within established standards for turn-around. Special authorization is a process whereby prescribers can request coverage for specific drugs for their patients.

Requirements

Post-secondary education in the health services or medical field (i.e. Pharmacy Technician diploma, Medical Office Administration certificate/diploma), or directly related experience.
Knowledge of medical terminology and familiarity with drug names is required.
Must possess excellent analytical, problem solving, and decision-making skills.
Must have a demonstrated ability to manage time effectively and work with minimum supervision in a team environment.
Must have a high degree of accuracy and attention to detail.
Computer proficiency, particularly with Microsoft Office (i.e. Word, Excel, and preferably Access) is required.
Excellent written and verbal communication skills, as well as organizational skills are required.
Must have demonstrated ability to meet the challenges of heavy workloads and frequent change.
Must be a strong team player.
Must be service-oriented and responsive to our customers.
Ability to establish and maintain effective working relationships with both internal and external customers.

Nice To Haves

Pathophysiology would be an asset.

Responsibilities

Assess and render decisions on Special Authorization requests according to the established guidelines for drug(s) requested and accepted medical condition(s).
Determine appropriate system entry and correspondence information to be recorded.
Enter information on Alberta Blue Cross® computer systems regarding Special Authorization requests in order to facilitate appropriate claims adjudication.
Prepare correspondence advising prescribers and subscribers of decisions regarding Special Authorization requests.
Handle electronic and telephone inquiries from both internal and external customers.