FACET Clinical Coordinator

Cubic is a Toronto-based data-driven employee benefit plan management company which specializes in using research, analytics, and expertise to optimize the health of both the plan and its employees. We focus on implementing tailored solutions for our clients to establish stronger and more comprehensive benefits plans that better meet the needs of their employees and their families. With our market-leading and ever-evolving analytics capabilities, and more licensed pharmacists on our team than any other firm in this space, we offer nuanced insight, practical strategic advice, and hands‑on assistance to the largest benefit plans in the country. At Cubic, we believe our people are the foundation that makes us even better, which is why we want you to be a part of our organization. After 23 years in business, Cubic recognizes that having a great team is the key to success, so we attract and retain the right people with an employee experience that focuses on building trust, embracing change, and achieving our goals together. Position Description FACET is a unique Prior Authorization offering for complex health conditions that Cubic manages for clients across Canada. It is an independent, evidence-based program that manages claims for high-cost specialty drugs at the disease-state level to ensure optimal use of drug plan resources while ensuring the best health outcomes for members of the plans we serve. As a member of Cubic’s FACET Prior Authorization team, you will be supporting a team of Clinical Pharmacists who are managing requests for these medications from Specialists across the country. Primary Accountabilities Assisting in the coordination, management and clinical adjudication of Prior Authorization claims through the Employer’s FACET Program including interacting with plan members, physicians, other healthcare professionals and patient support program representatives. Managing, processing, and evaluating renewal claims based on established clinical criteria, ensuring coordination with secondary payers/provincial drug programs where applicable Facilitate the claim review process between the administrative and pharmacist teams (triage of incoming claims, rendering initial decisions, etc.) Supporting clients in answering appropriate information requests (by phone, e‑mail, fax, or mail) Assisting in the administrative operations of the FACET Program Assisting with the development and maintenance of FACET evidence base. Excellent written and verbal communication skills: verbal and written fluency in English, written fluency in French is an asset Excellent customer service skills to optimally service our valued plan members Proficient computer skills including competency with MS Word and Outlook Excellent time management skills and ability to prioritize work Attention to detail and strong organizational skills with the ability to multi-task Ability to take the initiative to complete necessary tasks Education & Experience Candidates with experience in healthcare or pharmacy settings are welcome to apply. This may include Registered Nurses (RNs), Registered Practical Nurses (RPNs), Nurse Practitioners (NPs), Registered Pharmacy Technicians (RPhTs), Pharmacy Assistants, etc. At least two years of experience in related role (e.g. EAP, Prior Authorization background) Employee Benefits Remote work option after probation period Annual License Fee Reimbursement Stipend for Home Office Equipment Flexible benefits with Healthcare Spending Account Cubic is an equal opportunity employer and is committed to a diverse and inclusive workforce. Accommodations are available upon request for candidates with disabilities taking part in all aspects of the selection process. We thank all candidates for applying, however, only successful candidates will be contacted for an interview. #J-18808-Ljbffr Collage