Health Research jobs in Ontario
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Prescription Drug Claims Specialist
Easily applyUrgently hiringOrion AuditKleinburg, ON- $70,000–$80,000 a year
- Full-time
- Tuition reimbursement
- Dental care
- Life insurance
- Employee assistance program
- Disability insurance
- Paid vacation
- Analytical and tech-proficient, with strong research, problem-solving, and decision-making skills, and proficiency in Word, Excel, and Outlook.
Employee Engagement and Experience Specialist
Urgently hiringNewToronto Transit CommissionToronto, ON M4S 1Z2- $100,318.40–$125,434.40 a year
- Full-time
- Day shift
- Vision care
- Dental care
- Gather information and conduct research.
- A comprehensive package that covers health, dental, vision and more.
- The full Plan can be viewed on ttc.ca.
Senior Health Promotion & Research Officer
Easily applyNewRoots Community Services Inc.Brampton, ON- $68,500–$72,800 a year
- Part-time
- Paid time off
- Dental care
- Minimum 5 years of progressive experience in health promotion, community health, research coordination, program evaluation, or related work.
- Arterra Wines CanadaNiagara Falls, ON
- $57,922–$79,642 a year
- Full-time
- Supporting research trials, competitive taste panels, and cross‑functional project work with Brand teams.
- We are seeking a 12 month contract R&D Specialist…
- Unity Health TorontoToronto, ON
- $27.13–$33.91 an hour
- Full-time +1
- The Research Assistant I (RA I) provides essential research, organizational, and administrative support to ongoing clinical and health services research…
Clinical Data Management Specialist
Easily applyEverest Clinical ResearchMarkham, ON L3R 0B8- $45,000–$70,000 a year
- Permanent
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- Employee assistance program
- Disability insurance
- A Bachelors’ or Masters’ degree in health and/or pharmaceutical sciences, physical/biological, or chemistry fields.
Clinical Data Management Specialist
Easily applyEverest Clinical ResearchMarkham, ON L3R 0B8- $45,000–$70,000 a year
- Permanent
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- Employee assistance program
- Disability insurance
- A Bachelors’ or Masters’ degree in health and/or pharmaceutical sciences, physical/biological, or chemistry fields.
- DECIEMToronto, ON
- $70,000–$80,000 a year
- Full-time
- Paid time off
- Employee assistance program
- Scour relevant scientific literature and routinely incorporate new insights into research activities.
- Unlimited access to an Employee Assistance Program that…
View similar jobs with this employerSE HealthMississauga, ON- $66–$76 an hour
- Full-time
- Full-Time, Part-Time and Casual opportunities available across the region of Mississauga.
- Planning and implementing client-centered, goal-directed treatment…
Occupational Hygienist
Urgently hiringNewToronto Transit CommissionToronto, ON M4S 1Z2- $100,318.40–$125,434.40 a year
- Day shift
- Vision care
- Dental care
- Champion workplace health and safety; and inspire proactive risk assessment.
- A comprehensive package that covers health, dental, vision and more.
Assistant Designer, Signals
Urgently hiringNewToronto Transit CommissionToronto, ON M4S 1Z2- $91,109.20–$113,895.60 a year
- Day shift
- Vision care
- Dental care
- A comprehensive package that covers health, dental, vision and more.
- Department: Signals/Electrical/Communications (20000051) - Signals And Train Control (…
View similar jobs with this employerSanofi EUToronto, ON M5R 3V5- $108,900–$157,300 a year
- Extended health care
- Lead and execute feasibility assessments for RWD sources (electronic health records, administrative claims, patient registries, wearable/digital health data) to…
- St. Joseph's Healthcare HamiltonHamilton, ON L8N 4A6
- $45.22–$57.98 an hour
- Full-time +2
- Monday to Friday +1
- Generate quality research opportunities in the field of grossing and autopsy procedures.
- Temporary (Fixed Term), Full time.
Dental Claims Specialist
Easily applyUrgently hiringOrion AuditKleinburg, ON- $70,000–$85,000 a year
- Full-time
- Dental care
- Life insurance
- Employee assistance program
- Disability insurance
- Paid vacation
- RRSP match
- Strong research, problem-solving, and decision-making skills.
- To conduct high-quality and detailed Dental Claim Audits on behalf of our clients.
OSP Assessment Clinican (Punjabi-speaking)
Easily applyUrgently hiringCarePoint HealthMississauga, ON L5K 2N6- $70,039.86–$82,400.00 a year
- Full-time +1
- Evening shift
- Paid time off
- Vision care
- Dental care
- Life insurance
- Employee assistance program
- Company pension
1 hire made in past 30 days- A community of mental health professionals (psychologists and social workers) and other allied health professionals on site.
Quality Improvement Decision Support Specialist
Easily applyUrgently hiringNORTH PEEL FAMILY HEALTH TEAMBrampton, ON L6W 3X4- $74,000–$84,000 a year
- Full-time +1
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- Employee assistance program
- Disability insurance
- 3-5 years of related experience in a health care environment.
- Understanding of requirements for working with personal health information and safeguarding data.
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Job Post Details
Prescription Drug Claims Specialist - job post
Kleinburg, ON•Hybrid work
$70,000–$80,000 a year - Full-time
Job details
Pay
- $70,000–$80,000 a year
Job type
- Full-time
Location
Kleinburg, ON•Hybrid work
Benefits
Pulled from the full job description
- Tuition reimbursement
- Dental care
- Life insurance
- Employee assistance program
- Disability insurance
- Paid vacation
- RRSP match
Full job description
WHY THIS ROLE MATTERS:
To conduct high quality and detailed Prescription Drug Claim Audits on behalf of our clients. This includes analyzing Prescription Drug claims data, detecting and evaluating patterns, trends and anomalies, and turning them into meaningful insights and recommendations for our clients through formal written reports and presentations.
A component of this role includes supporting our consulting team as a technical resource. Conducting technical reviews, insights, and recommendations for the Prescription Drug portion of our clients Group Benefits plans. Keeping up with key industry trends, new products, and processes is highly valued.
WHAT YOU’LL BE RESPONSIBLE FOR :
- Conduct high quality, detailed, Drug claim audits; evaluate adjudication processes, error rate, test plan eligibility and adherence to the insurance contracts
- Review, interpret, and summarize plan designs from insurance contracts
- Analyze drug claim data, and effectively detect and evaluate patterns, trends and anomalies
- Identify opportunities, solutions, and recommendations to improve claims administrative processes with a focus on cost savings and risk management
- Prepare written reports; technical writing outlining observations and findings of claim audits
- Participate in the preparation and presentation of audit insights, findings, and recommendations:
- to current or prospective clients; and
- to generate new business opportunities
WHAT YOU BRING TO THE ROLE:
- Demonstrated knowledge and experience of Group Benefits Prescription Drug plans, with experience in retail or hospital pharmacy, pharmacy operations, drug claim billing expertise, or insurance industry
- Five to ten years of experience in processing practices of drug claims for Group Benefit plans at a TPA, PBM and/or insurance company, and claims processing in a pharmacy setting
- Knowledge of Provincial Pharmacare Programs; including both private and public reimbursement models
- Solid background and familiarity with: Industry best practices, Coordination of benefits, Internal audit processes and fraud detection, Prescription Drug plan design, Drug Utilization Reviews, Drug pricing and fee structure, Brand and generic drugs, Narcotic controls.
- Strong communicator and presenter, able to manage multiple priorities in a fast-paced, fluctuating environment with strong written and verbal skills.
- Analytical and tech-proficient, with strong research, problem-solving, and decision-making skills, and proficiency in Word, Excel, and Outlook.
Assets
- Recent retail, commercial, or hospital pharmacy adjudication/processing experience is strongly preferred
- Experience in adjudicating Extended Health and prescription Drug claims at an insurer or TPA or PBM
- Experience with Pharmacy Benefits Management, drug plan design, or drug reimbursement models
- Experience in Group Benefits risk management, including fraud detection and prevention strategies
WHAT WE OFFER:
- Health and Dental Benefits
- RRSP Match Program
- Hybrid Work Environment
- Paid Vacation Time
- Educational Reimbursement
- Expense Reimbursement
This is for an existing position.
Navacord DOES NOT utilize artificial intelligence in the screening, assessment, or selection of applicants for this position.
Navacord is actively committed to support diversity, equity, and inclusion. We serve and recognize and respect human differences and similarities. We value the diversity of people and actively encourage women, indigenous peoples, members of visible minorities, people with disabilities, and lesbian, gay, bisexual, transgender, and queer (LGBTQ2+) persons to apply. We are committed to providing accommodation upon request for applicants and employees with disabilities. If you require accommodation, we will work with you to meet your needs.
Pay: $70,000.00-$80,000.00 per year
Benefits:
- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Life insurance
- RRSP match
- Work from home
Work Location: Hybrid remote in Kleinburg, ON
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