Find work in Canada.

317,657 jobs across our Canadian network. How we count

Jobs in Canada

25+ jobs

Added 3 hours ago
YO
Assistant Educator (PT Permanent) - Avalon Y
YMCA of the National Capital Region
ON · Orleans, ON
- Part-time
…critical social needs in our community. We are a leader and valued partner in creating a vibrant and healthy community where everyone belongs and can reach their full…
Added 3 hours ago
YO
Non-RECE Educator - Avalon Y
YMCA of the National Capital Region
ON · Orleans, ON
- Full-time
…critical social needs in our community. We are a leader and valued partner in creating a vibrant and healthy community where everyone belongs and can reach their full…
Added 3 hours ago
J
Drug Prior Authorization Case 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 a Drug Prior Authorization Case Manager based in Canada.
Added 4 hours ago
J
Drug Prior Authorization Case 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 a Drug Prior Authorization Case Manager based in Canada.
Added 7 hours ago
SI
Wireless Sales Consultant
Staples Inc.
Sudbury, ON
- Part-time
Connect, share, and partner with customers, identify and convert wireless and wireline sales opportunities
Added 9 hours ago
N
Vice President, Human Resources
Napoleon
Barrie, ON
- Full-time
Partner with the President and executive leaders to align people strategies with corporate objectives.
Added 18 hours ago
NB
Expert Trust Services - Estate settlement
National Bank of Canada
Montreal, QC
- Full-time
…legal specialist in the administration of estates, trusts and protection mandates. This role allows you to make a positive impact on the client experience and the management of sensitive…
Added 20 hours ago
S
Rotating Equipment Manager
Shell
Scotford, AB
- Full-time
Added 20 hours ago
S
Asset Integrity Manager
Shell
Scotford, AB
- Full-time
The Asset Integrity Manager is responsible for overseeing and ensuring the effectiveness of the Pressure Equipment Integrity Management system to minimize process safety and reliability…
Added 22 hours ago
Coordonnateur.trice, Environnement /Contrat temporaire de 15 mois (remplacement de congé de maternité).
Logistec
Montreal, QC
Would you like to make a tangible contribution to environmental protection while working at the heart of port operations? Join LOGISTEC as an Environmental Coordinator.
Added 1 day ago
RM
Parts Technician
Rocky Mountain Equipment
Camrose, AB
- Full-time
…approach. As Western Canada’s trusted equipment and business partner, RME stands Right by You™, fulfilling our commitment to deliver product and support services for the hardworking…
Added 1 day ago
UO
Student Support Assistant
University of Victoria
Victoria, BC
- Full-time
…Division of Student Affairs, the unit is committed to being a partner in supporting student success and providing service excellence. SSS staff work as a team to ensure a high level of…
Added 1 day ago
S
Project Engineer
Shell
Sarnia, ON
- Full-time
…Operations Readiness, Completions and C&SU aspects of the Project to Asset Transition…
Added 1 day ago
ST
EWIS Integrator (Mid Level)
SEGULA Technologies
Montreal, QC
- Full-time
Enforce mandatory installation rules regarding electrical separation/segregation, minimum bend radii, support spacing, environmental protection, and maintenance accessibility.
Added 1 day ago
EI
Client Services Coordinator - Automotive
EBlock Inc.
Canada
- $47,000 to $55,000 CAD / year
- Full-time
Upload, manage, and track all required documentation within internal systems and banking partner portals in a timely and accurate manner.
Added 1 day ago
EI
Software Development Manager
EBlock Inc.
Canada
- $160,000 to $180,000 CAD / year
- Full-time
Partner with Product Managers on scoping, prioritization, sequencing, and realistic delivery commitments.
Added 1 day ago
TL
Freight Receivable Supervisor
Transx Ltd
Rosser, MB
- Full-time
Leadership & Team Co-Management: Partner closely with a peer supervisor to co-lead and develop a team of 12 Freight Auditors. Oversee daily coaching, scheduling, onboarding, performance…
Added 1 day ago
KC
Contract Child Protection Worker
Kunuwanimano Child & Family Services
ON
- $66,593 to $78,865 CAD / year
- Contract
…Agency’s By-Laws, Policies, Procedures, and the Ontario Child Protection…
Added 1 day ago
KC
Contract Child Protection Worker
Kunuwanimano Child & Family Services
Timmins, ON
- $66,593 to $78,865 CAD / year
- Contract
…Agency’s By-Laws, Policies, Procedures, and the Ontario Child Protection…
Added 1 day ago
SR
Wireless Sales Consultant
Staples Retail
Victoria, BC
- Part-time
Connect, share, and partner with customers, identify and convert wireless and wireline sales opportunities
Added 1 day ago
WC
(CAN) Asset Protection Operations Team Lead
Walmart Canada
Winnipeg, MB
- Full-time
Position Summary...Assists in the leadership of the Asset Protection and office areas and processes, responds to problems and inquiries and develops associates through teaching and training…
Added 1 day ago
DC
Senior Water Resources Engineer
Dillon Consulting Limited
Guelph, ON · Hamilton, ON · Kingston, ON · Kitchener, ON · Oakville, ON · Toronto, ON · Windsor, ON · North York, ON
- Full-time
…sanitary sewer networks, bridges and culverts, erosion and scour…
Added 1 day ago
YS
Reproductive Health Manager
Yemen ShortList
Aden
- Full-time
…Officers, midwives, medical doctors, mobile health team staff and partner staff; leads the development of RH standard operating procedures, referral pathways and integration with Protection…
Added 1 day ago
MS
Merchandise Manager PT
Michaels Stores
Winnipeg, MB
- Part-time
Partner in maintaining strong Asset Protection practices, reducing shrink through awareness, compliance, and safe operations.
Added 1 day ago
MS
Merchandise Manager
Michaels Stores
Saskatoon, SK
- Part-time
Partner in maintaining strong Asset Protection practices, reducing shrink through awareness, compliance, and safe operations.

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

Apply About employer

Applications open in a new tab.

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 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 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.

\nAccountabilities:

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.

Apply About employer

More about this job

Responsibilities

Manage the end-to-end adjudication of drug prior authorization requests by evaluating submissions against clinical guidelines and plan provisions. Investigate and resolve complex, escalated, or non-standard claims while serving as a subject matter expert for internal and external stakeholders.

Requirements

Requires post-secondary education and 2–3 years of experience in case management, claims, or group benefits. Candidates must possess strong analytical skills, proficiency with Microsoft Office 365, and the ability to work independently in a fast-paced environment.

Skills

Case management
Claims adjudication
Risk management
Clinical guidelines assessment
Medical terminology
Dental terminology
Analytical skills
Problem-solving
Decision-making
Communication
Negotiation
Relationship building
Microsoft Office 365
Benefits administration
Investigative skills
Customer service

Benefits

Health insurance
Dental coverage
Mental health benefits
Vision benefits
Short-term disability insurance
Long-term disability insurance
Life insurance
AD&D insurance
Adoption benefits
Surrogacy benefits
Wellness programs
Employee assistance program
Retirement savings plan
Pension plan
Share ownership plan
Paid time off

Visa sponsorship

Not detected in the job text

Keywords

Drug Prior Authorization
Case Management
Claims Adjudication
Group Benefits
Risk Management
Clinical Guidelines
Medical Terminology
Dental Terminology
Microsoft Office 365
Insurance
Disability Management
Customer Service
Analytical Skills
Problem-solving
Decision-making
Negotiation
Relationship Building
Operational Efficiency
Quality Assurance
Continuous Improvement
Subject Matter Expert
Hybrid Work
WorkSmart
Financial Efficiency
Stakeholder Management

Report this job