The posting
About Manitoba Blue Cross We’re a Manitoba-based, not-for-profit, health benefits provider with a vision to be the trusted and essential health and wellness partner for all Manitobans. Every dollar made is reinvested in our infrastructure, our people, and our province with the goal of providing better care for our members, expanding our community impact and broadening our health care knowledge. Why work for us? Manitoba Blue Cross, is a Manitoba Top Employer. We are empowered to give back to the community, and we know that caring needs to start in our workplace with our own Manitoba Blue Cross team. We actively foster a culture that focuses on your satisfaction, development, diversity, and growth. Culture of Caring We strive to succeed at reaching our organizational goals, but we always make time to celebrate our successes. Having fun as a group and rewarding our employees for their accomplishments is an essential part of our workplace culture. We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace. We offer a work environment that promotes a healthy work-life balance and support to advance your career that includes:
Competitive starting salary. A comprehensive health benefit package. Hybrid work environment, flexible work schedules. Fully equipped onsite fitness center. Casual dress code to promote diversity and inclusivity. Personal and professional development.
Are you a driven, dedicated, and enthusiastic individual who wants to work in a friendly and rewarding environment? If so, we are looking for someone like you! The following position is open to anyone residing in Winnipeg and surrounding areas with valid work authorization. POSITION SUMMARY The Team Lead of Pharmacy Services is responsible for the direction of employees who analyze all aspects of pharmacy services including special authorizations and high-cost specialty drug lists. Additional duties include reviewing correspondence, participating in working groups and staying informed of all industry and regulatory changes. DUTIES AND RESPONSIBILITIES Leadership
Provides direct supervision including reviewing/evaluating work and conducting performance evaluations/reviews. Supports and guides the team through coaching, directing, and fostering a team environment. Identifies training requirements as well as areas for employee growth and facilitates developmental opportunities. Coordinates and provides training and information sessions to fellow team members as required. Responsible for the coordination and delegation of workloads to ensure department efficiency.
Business Operations
Develops and maintains criteria for Specialty Drugs. Reviews Special Authorizations for Specialty Drugs in conjunction with the Team. Creates medication specific Special Authorization forms for Manitoba Blue Cross in conjunction with Corporate Communications. Conducts ongoing reviews of high-cost claimants. Reviews all external correspondence prepared by the Team.
Research and Analysis
Research, development and maintenance of adjudication practices, processes and standards that provide excellence in service delivery. Responds to new developments and trends in technology. Provides insight on drug related technology updates. Creates recommendations pertaining to industry related issues. Offers suggestions and recommendations that initiates cost-savings and/or enhancements to current procedures.
Teamwork and Collaboration
Participates and represents the department on various committees and/or industry working groups. Develops and maintains good relationships with peers, team members and stakeholders. Acts as a Pharmacy liaison with all Manitoba Blue Cross departments and provides training, as required.
Skills, Qualifications & Desirable Attributes
Dedicated to the principles of exceptional service; committed to responding to, anticipating, and addressing customer needs, for both internal and external customers. Post-secondary degree, diploma or certificate in business, science, pharmacy or a related field. Working knowledge of pharmacy and medical products and their terminology required. Previous claims adjudication experience and/or experience in the health field are required. Excellent organizational skills, with the ability to independently prioritize multiple activities on an ongoing basis and perform the requirements of the role efficiently and with high attention to detail. Excellent analytical, logic and investigative skills with the ability to solve complex problems. Excellent interpersonal and communication skills (verbal and written) with a demonstrated ability to deal with all levels within the organization in a team environment. Effective listening skills. Strong computer skills including Word, Excel, PowerPoint and Outlook. Self-directed, with exceptional organizational skills and a proven record of managing and prioritizing multiple tasks within varied and dynamic timelines on an ongoing basis. Strong problem-solving skills to address process-related issues and develop innovative solutions. Ability to enhance efficiencies through the development of related business and decision-making tools in these applications would be an asset. Previous experience as team leader or assistant supervisor is an asset. Completion of medical certificate courses, an asset.
Ready to Apply? We are excited to meet you! If you would like to join our team, you are invited to apply by submitting your resume and cover letter by clicking the "Apply" button below by November 20, 2026 To learn more visit: https://www2.mb.bluecross.ca/about-us/careers We appreciate the interest expressed by all applicants and acknowledge the effort put into the application process, however only those selected for an interview will be contacted.
Manitoba Blue Cross is committed to the principles of diversity, equity & inclusion and to promoting opportunities in hiring for everyone. We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace. We encourage all qualified candidates to apply. If you require an accommodation during the hiring process, please let us know.
