Medication Reimbursement Specialist - TGH OP

Union: Non-Union New or Replacement: Replacement Site: Toronto General Hospital Department: Outpatient Pharmacy Reports to: Manager Wage Range: $35.28 - $44.10 per hour Hours: 37.5 Hours per Week Shifts: Monday to Friday Status: Temporary Full-Time (12 Month Contract) Closing Date: October 22, 2026 Position Summary As an integral member of the Toronto General Hospital Outpatient Pharmacy team the primary focus of the Medication Reimbursement Specialist is to facilitate and coordinate the submission of application forms for access to medication assistance for outpatients. This job will serve as the centralized point of contact for physicians, nurses, social workers and pharmacists, and, will be actively involved with government, community based and private agencies that provide financial assistance for medications. He/she will serve as an advisor to patients, families and health care providers regarding medication access and reimbursement. Duties • Communicate with patients, prescribers, healthcare professionals and other stakeholders to support patients through their treatment journey • Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles, and prior authorizations. • Gather and document information from patients/caregivers/prescribers in a concise, organized and professional manner • Complete, submit and follow-up on requisite paperwork in a timely manner • Liase with private and public insurance providers to determine coverage options • Act as a central liaison for stakeholders such as physicians, pharmacists, nurses, other allied healthcare partners, patients, and clinics and provide required updates • Maintain confidentiality of patient healthcare and financial information • Keep up-to-date with changes in insurance coverage and reimbursement policies, and communicate these changes to healthcare providers and patients. • At minimum, completion of a two year community college program in an Allied Health related discipline or recognized equivalent required • At minimum, two years practical and related experience • Minimum of 2 years’ experience in outpatient pharmacy or related setting • Knowledge and experience with public and private medication access/reimbursement programs and relevant agencies • Advanced knowledge of pharmaceutical, or insurance industry • Strong analytical and mathematical skills • Ability to communicate effectively both verbally and in writing • Effective interpersonal and leadership skills • Effective organizational skills; attention to detail • Ability to consistently meet deadlines • Excellent problem-solving skills; ability to resolve issues effectively and efficiently Why join UHN? In addition to working alongside some of the most talented and inspiring healthcare professionals in the world, UHN offers a wide range of benefits, programs and perks. It is the comprehensiveness of these offerings that makes it a differentiating factor, allowing you to find value where it matters most to you, now and throughout your career at UHN. • Competitive offer packages • Government organization and a member of the Healthcare of Ontario Pension Plan (HOOPP https://hoopp.com/ ) • Close access to Transit and UHN shuttle service • A flexible work environment • Opportunities for development and promotions within a large organization • Additional perks (multiple corporate discounts including: travel, restaurants, parking, phone plans, auto insurance discounts, on-site gyms, etc.) Current UHN employees must have successfully completed their probationary period, have a good employee record along with satisfactory attendance in accordance with UHN's attendance management program, to be eligible for consideration. All appli