Jobs in Canada

25+ jobs

Email me new jobs Save this search

Added 14 mins ago
B
QNX Senior Technical Product Manager (Industrial Automation & Robotics)
BlackBerry
Ottawa, ON
- Full-time
We are looking for a Senior Technical Product Manager to help define and deliver solutions to the QNX portfolio such as our General Embedded Development Platform, Cabin (digital cockpit),…
Added 14 mins ago
BQ
QNX Senior Technical Product Manager (Industrial Automation & Robotics)
BlackBerry QNX
Ottawa, ON
- Full-time
We are looking for a Senior Technical Product Manager to help define and deliver solutions to the QNX portfolio such as our General Embedded Development Platform, Cabin (digital cockpit),…
Added 28 mins ago
RA
Project Manager, Land Development - Ottawa
R.V. Anderson Associates Limited
Ottawa, ON
- Full-time
RVA is looking for an experienced Project Manager to join their Land Development team in a full-time position out of their Ottawa office. In this role, you will be responsible for business…
Added 28 mins ago
SC
Customer Service/Account Manager – Packaging
Stoakley-Stewart Consultants Ltd.
Mississauga, ON
- Full-time
A growing packaging manufacturer is seeking an experienced Customer Service/Account Manager to join their team.
Added 28 mins ago
SC
Customs Compliance Manager
Stoakley-Stewart Consultants Ltd.
Mississauga, ON
- Full-time
Added 28 mins ago
SC
Controller/Senior Accountant
Stoakley-Stewart Consultants Ltd.
Mississauga, ON
- Full-time
Partner with the plant manager to evaluate production efficiency and capital expenditure (CapEx) projects.
Added 28 mins ago
SC
VP/Director of Operations – Packaging Manufacturing
Stoakley-Stewart Consultants Ltd.
Mississauga, ON
- Full-time
…experience as a VP Operations, Director of Operations, Plant Manager, General…
Added 28 mins ago
SC
General Manager – Print Manufacturing
Stoakley-Stewart Consultants Ltd.
Cambridge, ON
- Full-time
A well-established and growing print manufacturer is seeking an experienced General Manager to lead the organization through its next stage of growth.
Added 28 mins ago
SC
Credit & Trade Finance Manager
Stoakley-Stewart Consultants Ltd.
Cambridge, ON
- Full-time
Reporting to the CFO, with a dotted-line relationship to the CEO, the Credit & Trade Finance Manager will help protect cash flow and working capital while supporting profitable…
Added 28 mins ago
SC
Environmental Project Coordinator – Hazardous Materials (Hazmat)
Stoakley-Stewart Consultants Ltd.
Waterloo, ON
- Full-time
Magda is our Construction Division Manager. Minus the hard hat and steel toed boots, she is a true industry expert! Working with General Contractors, Trades, Owners, Engineers, Architects,…
Added 28 mins ago
SC
Project Manager – Restoration Services
Stoakley-Stewart Consultants Ltd.
Toronto, ON · Greater Toronto Area, Canada
- Full-time
We have been engaged on a confidential search for an experienced Project Manager to join a well-established and growing property restoration organization in the Greater Toronto Area.
Added 28 mins ago
SC
Network and Systems Specialist
Stoakley-Stewart Consultants Ltd.
Barrie, ON
- Full-time
Referral bonus program for approved permanent hires
Added 28 mins ago
VB
Analyst II, IT
Vale Base Metals
Sudbury, ON
- Full-time
Reporting to the Supervisor/Manager, IT Infrastructure Operations , the Analyst II is responsible for the operation, maintenance, deployment, and continuous improvement of hosting…
Added 43 mins ago
Q
QNX Senior Technical Product Manager (Industrial Automation & Robotics)
QNX
Ottawa, ON
- Full-time
We are looking for a Senior Technical Product Manager to help define and deliver solutions to the QNX portfolio such as our General Embedded Development Platform, Cabin (digital cockpit),…
Added 1 hour ago
J
Senior Program Manager, Employee Experience
Jobgether
Canada
- Full-time
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Program Manager, Employee Experience based in Canada.
Added 1 hour ago
OI
Business Management Instructor
Oxford International
Vancouver, BC
- $35 CAD / hour
- Part-time
Work closely with colleagues and the Program Manager to enhance the quality, consistency, and impact of the program.
Added 2 hours ago
N
Software Developer - Networking (Flow)
Nutanix
Vancouver, BC
- $103,000 to $155,000 CAD / year
- Full-time
…team-specific guidance and norms will be provided by the hiring…
Added 2 hours ago
N
Senior Software Developer - Networking (Flow)
Nutanix
Vancouver, BC
- $151,000 to $227,000 CAD / year
- Full-time
…team-specific guidance and norms will be provided by the hiring…
Added 2 hours ago
OI
Hospitality Management Instructor
Oxford International
Vancouver, BC
- $35 CAD / hour
- Part-time
Work closely with colleagues and the Program Manager to strengthen the quality, consistency, and impact of the program.
Added 3 hours ago
DB
Part Time Bridal Sales
David's Bridal
Woodbridge, ON
- $16 to $25.8 CAD / hour
- Part-time
…presentation and operations of the store. S/he reports to the Store Manager in partnership with the Sales Manager. Bridal Stylists are brand ambassadors and demonstrate the values and…
Added 5 hours ago
E
US Corporate Tax - Waterloo - Manager
EY
Toronto, ON
- Full-time
As a US Tax Manager in EY’s U.S. Tax Practice, you’ll lead and supervise complex tax engagements, delivering high‑quality compliance services and innovative tax planning for multinational…
Added 5 hours ago
SM
Manager, Finance, Performance & Analytics
Stevenson Memorial Hospital
Alliston, ON
- Full-time
Reporting to the Vice President, Corporate Services & Chief Financial Officer, the Manager, Finance, Performance and Analytics supports the hospital's strategic objectives, performance…
Added 5 hours ago
J
Case Manager – Drug Prior Authorization
Jobgether
Canada
- $43,875 to $73,125 CAD / year
- Full-time
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Case Manager – Drug Prior Authorization based in Canada.
Added 5 hours ago
J
Enterprise Customer Success Manager
Jobgether
Canada
- Full-time
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Enterprise Customer Success Manager based in Canada.
Added 5 hours ago
HR
Quality Assurance Intern (Winter 2027, 12months)
Hitachi Rail
Toronto, ON
- $23 to $30 CAD / hour
- Full-time
Assist Quality Assurance Manager in follow up on various tasks:

Jobgether

Case Manager – Drug Prior Authorization

Canada

$43,875 to $73,125 CAD / year · Full-time

Apply About employer

Applications open in a new tab.

Job details

Pay: $43,875 to $73,125 CAD / year
Job type: Full-time
Experience: 2–3 years of experience in a customer service, case management, claims processing, or related environment.
Posting language: English
Posted: Oct 5, 2026

Original job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Case Manager – Drug Prior Authorization based in Canada.

This role plays a key part in managing complex drug prior authorization requests and claims requiring specialized handling.

You will own cases end to end, assessing submissions against clinical guidelines, plan provisions, and established approval criteria.

You will also manage sensitive, escalated, non-standard, and high-value cases that require sound judgment and in-depth analysis.

The role involves regular communication with plan participants, healthcare providers, pharmacies, and internal stakeholders.

You will serve as a subject matter expert on prior authorization and claims adjudication, while supporting knowledge sharing and colleague training.

Your expertise will directly contribute to service quality, customer satisfaction, operational efficiency, and continuous improvement.

You will work in a dynamic, flexible, and collaborative environment that values professional development, sound decision-making, and operational excellence.

Accountabilities

Receive, analyze, and adjudicate drug prior authorization requests according to applicable clinical guidelines, plan provisions, and approval criteria.
Manage cases from initial receipt through resolution, prioritizing work according to urgency and complexity.
Investigate complex, non-standard, or escalated cases and conduct the necessary research to determine appropriate actions.
Review high-value claims and situations requiring additional analysis or specialized attention.
Clearly communicate claims decisions to plan participants, healthcare providers, pharmacies, and internal stakeholders while meeting established service standards and processing timelines.
Act as a subject matter expert on prior authorization and claims adjudication, providing guidance and support to internal teams and outsourced partners.
Apply risk-management principles and sound professional judgment when evaluating requests and resolving cases.
Manage escalated cases and contribute to their timely, accurate, and customer-focused resolution.
Participate in projects and initiatives designed to improve operational efficiency, quality, processes, and customer experience.
Contribute to quality assurance, training, mentoring, knowledge-sharing, and continuous improvement activities.
Support objectives related to customer satisfaction, financial efficiency, and broader strategic priorities.
Maintain accurate case documentation and protect confidential customer and organizational information.

Requirements

Postsecondary education or an equivalent combination of relevant education and experience.
2–3 years of experience in a customer service, case management, claims processing, or related environment.
Experience in group benefits, claims administration, disability, insurance, or another regulated environment.
Knowledge of benefits plan administration and medical and dental terminology or claims processes.
Proficiency with Microsoft Office 365 applications.
Experience analyzing complex cases, assessing risk, and resolving sensitive or challenging situations.
Excellent written and verbal communication skills, with the ability to interact effectively with a broad range of stakeholders.
Strong analytical, problem-solving, decision-making, and professional judgment skills.
Ability to manage multiple priorities in a dynamic and continuously changing environment.
Strong attention to detail and a high level of commitment to accuracy and confidentiality.
Ability to work independently while collaborating effectively with a multidisciplinary team.
Strong customer focus and the ability to build positive, professional relationships with stakeholders.
Strong influencing, negotiation, collaboration, and communication skills.
Adaptability when faced with process changes, new technologies, and competing priorities.
A proactive approach focused on continuous improvement, operational excellence, and solution finding.
Experience as a subject matter expert, mentor, or informal team leader is an asset.

Benefits

Indicative annual salary range of CAD $43,875–$73,125, depending on location, qualifications, skills, experience, and role requirements.
Eligibility for incentive programs and performance-based compensation tied to individual and organizational results.
WorkSmart flexible working arrangement.
Opportunities to work from locations including Waterloo, Toronto, Kitchener, Halifax, and Montreal.
Medical and dental coverage.
Mental health and vision care coverage.
Short- and long-term disability insurance and life insurance.
Accidental death and dismemberment insurance.
Employee and family assistance programs.
Retirement savings plans, including options with employer matching contributions.
International employee share ownership program with employer contributions, subject to eligibility.
Financial education and advisory resources.
Paid time off including statutory holidays, vacation, personal days, and sick leave.
Learning, professional development, and career growth opportunities.
Flexible and inclusive work environment focused on employee well-being, collaboration, and diversity.
Opportunities to contribute to continuous improvement initiatives and projects that positively impact the customer experience.

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Apply About employer

More about this job

Responsibilities

Manage drug prior authorization requests and claims from intake through resolution, applying clinical guidelines, plan provisions, and approval criteria while handling complex, escalated, and high-value cases. Communicate decisions to participants and stakeholders, provide subject matter expertise and colleague support, maintain accurate confidential records, and contribute to quality, training, and operational improvement initiatives.

Requirements

Requires postsecondary education or an equivalent combination of education and experience, along with 2–3 years in customer service, case management, claims processing, or a related environment. Candidates should have relevant benefits, insurance, or regulated-environment experience; strong analytical, communication, judgment, and organizational skills; Microsoft Office 365 proficiency; and the ability to manage sensitive cases accurately and confidentially.

Skills

Drug Prior Authorization
Claims Adjudication
Case Management
Complex Case Analysis
Risk Assessment
Decision-Making
Customer Service
Stakeholder Communication
Benefits Plan Administration
Medical and Dental Terminology
Microsoft Office 365
Problem-Solving
Negotiation
Quality Assurance
Training and Mentoring
Confidentiality

Benefits

Incentive Programs
Flexible Working Arrangement
Medical Coverage
Dental Coverage
Mental Health Coverage
Vision Care Coverage
Short-Term Disability Insurance
Long-Term Disability Insurance
Life Insurance
Accidental Death and Dismemberment Insurance
Employee and Family Assistance Programs
Retirement Savings Plans
Employer Matching Contributions
Employee Share Ownership Program
Financial Education and Advisory Resources
Paid Time Off
Professional Development and Career Growth

Visa sponsorship

Not detected in the job text

Keywords

Drug Prior Authorization
Claims Processing
Claims Adjudication
Clinical Guidelines
Benefits Plan Administration
Approval Criteria
Case Management
Complex Case Analysis
High-Value Claims
Risk Management
Customer Service
Stakeholder Communication
Medical Terminology
Dental Terminology
Group Benefits
Claims Administration
Insurance
Microsoft Office 365
Quality Assurance
Training
Mentoring
Knowledge Sharing
Continuous Improvement
Confidentiality
Operational Efficiency

Report this job