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Jobs in Canada

25+ jobs

Added 22 mins ago
AS
Manager of Strategy & Growth
Angler Solutions
St. John's, NL
- Contract
This role sets Angler's strategic direction and drives business development, while coordinating closely with the SMT functions responsible for delivering on that strategy.
Added 22 mins ago
FG
Service Manager
Flynn Group of Companies
Moncton, NB
- $85,000 to $100,000 CAD / year
- Full-time
Flynn Group of Companies is seeking a Service Manager to join our growing Moncton branch. This is a key leadership role responsible for overseeing service operations throughout New…
Added 22 mins ago
E
Sales & Business Development Manager - CANADA - F/M
Exail
Montreal, QC
- Full-time
We are seeking a Sales & Business Development Manager – CANADA to grow Exail’s presence across the country. This role combines technical sales, business development, strategic account…
Added 22 mins ago
SD
Credit Analyst ($25.50 - $28.50 per hour)
SRS Distribution Inc.
Nanaimo, BC
- Full-time
Reporting to the Credit Manager, the Credit Analyst focuses on key customer accounts as well as working with the AR team providing support where needed. The shifts are Monday - Friday, and…
Added 22 mins ago
W
Senior Plant 3D Administrator
Wood
Calgary, AB
- Full-time
Wood is recruiting for a Senior Plant 3D Administrator to join its Projects business in Calgary, Alberta, supporting digital engineering and project delivery through Plant 3D…
Added 37 mins ago
B
Regional Operations Manager
BGIS
Mississauga, ON
- Full-time
The Regional Service Manager supports multiple account leaders in delivering integrated trades services across a regional portfolio of accounts, ensuring consistent execution of all HVAC…
Added 52 mins ago
B
QNX Senior Technical Product Manager (Industrial Automation & Robotics)
BlackBerry
Ottawa, ON
- Full-time
…trusted foundation for software-defined businesses to thrive. The business leads the way in delivering safe and secure operating systems, hypervisors, middleware, solutions, and development…
Added 52 mins ago
BQ
QNX Senior Technical Product Manager (Industrial Automation & Robotics)
BlackBerry QNX
Ottawa, ON
- Full-time
…trusted foundation for software-defined businesses to thrive. The business leads the way in delivering safe and secure operating systems, hypervisors, middleware, solutions, and development…
Added 52 mins ago
NB
Assistant General Counsel - Asset Management (Toronto)
Neuberger Berman
Toronto, ON
- Full-time
Neuberger is a leading global asset manager seeking an Investment Management Attorney to provide advice and support on a broad variety of legal, regulatory, compliance and general corporate…
Added 1 hour ago
IE
Associate Manager, Sales Operations
IMAX Enhanced | Streaming & Consumer Technology
Mississauga, ON
- Full-time
The Sales Operations Associate Manager is part of IMAX’s global Sales and Corporate Development organization with a focus on operational excellence, effective sales enablement, and strong…
Added 1 hour 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 1 hour ago
IR
Financial Planning and Analysis Manager
Imagine Recruitment & Advisory
Toronto, ON · Greater Toronto Area, Canada
- $115,000 to $125,000 CAD / year
- Full-time
…candidate will be comfortable operating in a complex, multi-business environment and will bring a combination of strong financial expertise, analytical thinking, leadership capability, and…
Added 1 hour ago
SC
Large Loss Project Manager
Stoakley-Stewart Consultants Ltd.
Toronto, ON · Greater Toronto Area, Canada
- Full-time
We have been engaged on a confidential search for an accomplished Large Loss Project Manager to join a well-established property restoration organization in the Greater Toronto Area. This…
Added 1 hour ago
EW
Program Supervisor - Respite Care Connection
Enviros WSA
Calgary, AB
- Full-time
Reporting to the Program Manager, the Program Supervisor provides support by overseeing the program. This role involves developing and maintaining a positive and safe work environment…
Added 1 hour ago
SC
Customs Compliance Manager
Stoakley-Stewart Consultants Ltd.
Mississauga, ON
- Full-time
…regulatory knowledge with team leadership, client consulting, and business development. The successful candidate will oversee the day-to-day activities of the Customs Compliance team,…
Added 1 hour ago
SC
VP/Director of Operations – Packaging Manufacturing
Stoakley-Stewart Consultants Ltd.
Mississauga, ON
- Full-time
Work closely with senior leadership/ownership on strategic business initiatives.
Added 1 hour ago
SC
General Manager – Print Manufacturing
Stoakley-Stewart Consultants Ltd.
Cambridge, ON
- Full-time
The General Manager will have overall responsibility for the day-to-day operation of the business, while working closely with ownership and senior leadership to drive profitability,…
Added 1 hour ago
SC
Credit & Trade Finance Manager
Stoakley-Stewart Consultants Ltd.
Cambridge, ON
- Full-time
…and the ability to navigate the complexities of conducting business…
Added 1 hour ago
SC
Network and Systems Specialist
Stoakley-Stewart Consultants Ltd.
Barrie, ON
- Full-time
…makes it an ideal place for both personal and professional development. You will have access to ongoing training, education, and mentorship opportunities to consistently upskill and advance…
Added 1 hour ago
PH
Senior Business Analyst, PHIS
Provincial Health Services Authority
Vancouver, BC
- Full-time
…inherent in all aspects of this position. Reporting to the Manager, Public Health Information Systems, the Senior Business Analyst is responsible for providing leadership in Business…
Added 1 hour ago
FD
Full-Cycle Product Development, Procurement & E-Commerce Manager
Fleurs de Villes
Canada
- Full-time
To that end, we are seeking a Full-Cycle Product & Procurement Manager who thrives at the intersection of creativity and commerce. This role is for a driven, detail-oriented builder who can…
Added 1 hour ago
GO
Director - Climate Change Secretariat
Government of Yukon
Whitehorse, YT
- Full-time
Reporting to the Assistant Deputy Minister, the Director provides executive leadership in the development and implementation of government-wide climate change strategies, policies, programs…
Added 1 hour ago
H
Human Resources Manager
High5
BC · British Columbia, Canada
- Full-time
Implements HR strategy to ensure appropriate employee resources are available to achieve planned business results.
Added 1 hour ago
GO
Project Coordinator
Government of Yukon
Whitehorse, YT
- Full-time
…analytic skills to join our Support Services team. The program development and quality improvement initiatives this position provides includes project coordination and analytical expertise.…
Added 1 hour ago
VB
Supervisor, Logistics
Vale Base Metals
Sudbury, ON · Greater Sudbury, ON
- Full-time
…transforming critical minerals into prosperity and sustainable development in countries like Canada, Brazil, Indonesia, the United Kingdom, and Japan. We invite you to use your skills with…

Drug Prior Authorization Case Manager

Canada

Competitive salary range of $43,875–$73,125 CAD, depending on location, qualifications, experience, and other job-related factors. · Full-time

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Job details

Pay: Competitive salary range of $43,875–$73,125 CAD, depending on location, qualifications, experience, and other job-related factors.
Job type: Full-time
Experience: 2–3 years of experience in a customer-focused environment, case management, claims, or a related field.
Posting language: English
Posted: Oct 4, 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 Drug Prior Authorization Case Manager based in Canada.

This role is responsible for the end-to-end management of complex drug prior authorization and claims cases.

You will independently assess requests against clinical guidelines, plan provisions, and approval criteria while ensuring accurate and timely decisions.

The position involves direct communication with members, providers, pharmacies, and internal stakeholders.

You will handle sensitive, escalated, high-value, and non-standard cases that require research, sound judgment, and detailed analysis.

As a subject matter expert, you will also support internal teams, outsource partners, training, and knowledge-sharing initiatives.

The role combines customer service, claims expertise, risk management, and continuous improvement within a collaborative and evolving environment.

Accountabilities

Manage the intake, review, and adjudication of drug prior authorization requests, evaluating submissions against clinical guidelines, plan provisions, and established approval criteria.
Take full ownership of assigned cases from initial intake through resolution, prioritizing work according to urgency, complexity, customer impact, and service-level requirements.
Communicate authorization and claim outcomes clearly and professionally to members, healthcare providers, pharmacies, and internal stakeholders while maintaining expected turnaround times.
Investigate and resolve complex, escalated, sensitive, high-value, and non-standard claims or authorization scenarios through detailed research, analysis, and sound judgment.
Serve as a subject matter expert in prior authorization and claims adjudication, providing guidance to internal teams and external or outsourced partners.
Apply risk-management principles when assessing requests and contribute to effective resolution of escalated claims issues.
Participate in initiatives focused on operational efficiency, quality, customer experience, knowledge sharing, training, and continuous improvement.
Support broader organizational objectives related to financial efficiency, customer satisfaction, operational performance, and strategic priorities.

Requirements

Post-secondary education or an equivalent combination of education and relevant professional experience.
2–3 years of experience in a customer-focused environment, case management, claims, or a related field.
Previous experience in group benefits, claims management, disability management, insurance, or another regulated environment is required.
Proficiency with Microsoft Office 365 and confidence working with digital tools and systems in a professional environment.
Knowledge of benefits administration, medical and dental terminology, or claims-related practices is an asset.
Excellent written and verbal communication skills, with the ability to interact effectively with a diverse range of internal and external stakeholders.
Strong analytical, problem-solving, decision-making, and investigative skills, with the ability to assess risk and resolve challenging situations.
Strong attention to detail, sound judgment, confidentiality, and a customer-focused approach are essential.
Ability to manage multiple priorities in a fast-paced and changing environment while working independently and collaborating effectively with a team.
Strong influencing, negotiation, collaboration, and relationship-building skills, combined with adaptability and a willingness to embrace new technologies.
A continuous improvement mindset, solution-oriented approach, and experience acting as a subject matter expert, mentor, or informal leader are considered valuable.

Benefits

Competitive salary range of $43,875–$73,125 CAD, depending on location, qualifications, experience, and other job-related factors.
Opportunity to participate in incentive programs with compensation linked to individual and business performance.
Hybrid working arrangement with WorkSmart flexibility available.
Comprehensive health and dental coverage, including mental health and vision benefits.
Short- and long-term disability, life, and AD&D insurance coverage.
Adoption, surrogacy, wellness, and employee/family assistance benefits.
Retirement savings options, including pension and a global share ownership plan with employer matching contributions.
Access to financial education and counseling resources.
Generous paid time off, including holidays, vacation, personal and sick days, plus applicable statutory leaves.
Flexible and inclusive working environment focused on employee well-being, professional development, and career growth.
Opportunity to contribute to a global organization while developing expertise in complex claims and prior authorization management.

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.

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More about this job

Responsibilities

Manage drug prior authorization requests and claims from intake through resolution, assessing cases against clinical guidelines, plan provisions, and approval criteria while meeting service timelines. Resolve complex and escalated cases, communicate decisions to members and stakeholders, provide subject-matter guidance, and contribute to risk management, training, and operational improvement.

Requirements

Requires post-secondary education or equivalent relevant experience, along with 2–3 years in a customer-focused, case management, claims, or related role and experience in benefits, insurance, disability management, or another regulated environment. Candidates should have strong analytical, communication, investigative, and decision-making skills, proficiency with Microsoft Office 365, attention to detail, and the ability to manage competing priorities independently and collaboratively.

Skills

Drug Prior Authorization
Claims Adjudication
Case Management
Clinical Guideline Assessment
Risk Management
Complex Case Investigation
Analytical Skills
Problem-Solving
Decision-Making
Customer Service
Written and Verbal Communication
Stakeholder Management
Microsoft Office 365
Confidentiality
Negotiation
Continuous Improvement

Benefits

Incentive Programs
Hybrid Work Flexibility
Health Insurance
Dental Insurance
Mental Health Benefits
Vision Benefits
Short-Term Disability Insurance
Long-Term Disability Insurance
Life Insurance
AD&D Insurance
Adoption Benefits
Surrogacy Benefits
Wellness Benefits
Employee and Family Assistance Program
Pension
Global Share Ownership Plan
Employer Matching Contributions
Financial Education and Counseling
Paid Holidays
Vacation
Personal Days
Sick Days
Statutory Leaves
Professional Development

Visa sponsorship

Not detected in the job text

Keywords

Drug Prior Authorization
Claims Management
Claims Adjudication
Case Management
Clinical Guidelines
Plan Provisions
Approval Criteria
Group Benefits
Benefits Administration
Disability Management
Insurance
Medical Terminology
Dental Terminology
Risk Management
Escalated Claims
Microsoft Office 365
Digital Tools
Service-Level Requirements
Customer Experience
Stakeholder Communication
Operational Efficiency
Quality Improvement
Knowledge Sharing
Training
Confidentiality
Financial Efficiency

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