Drug Plan Management Specialist - Express Scripts Canada

Job Title: Drug Plan Management (DPM) Specialist

Location: Mississauga
Employment Type:  Full-time

Reason for Vacancy: Replacement

Work Arrangement: Hybrid  
Department Name: Prior Authorization and Drug Plan Management Department

Pay Type: Salaried

Pay Range: $55,000 to $58,000 annually.

Please note that this is a general posting range and offer range will be varied based on relevant experience, qualifications, skills required and location for this role.

About Us:

Express Scripts Canada (ESC) is a leading health benefits management company. Serving over 12 million members, we help insurance carriers, third party administrators, and the public sector optimize the value of health benefits by linking the talent and professional expertise of our people with leading edge information management systems and technology. ESC is a wholly owned subsidiary of Express Scripts Inc., one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for Canadians.

Job Summary:

Through the work of Drug Database & Plan Management, Express Scripts Canada offers its customers access to a comprehensive database of drug identification numbers (DINs), drug prices, generic interchangeability and regulatory schedules. As new drugs come on the market and drug costs continue to rise, Drug Plan Management looks for new ways to manage drugs plans and provide alternatives to traditional plan designs.

The Drug Plan Management (DPM) Specialist is responsible for the development and setup of new drug plans and for the maintenance of existing drug plans and formularies as instructed by customers. As a member of the Drug Database and Plan Management department the DPM Specialist maintains the quality assurance program for drug plan management processes, collaborates with the Clinical Services and Drug Database teams to provide recommendations on new drugs to customers for their drug plan and responds to drug plan management issues received by Customer Services and the Call Centre.

Key Responsibilities:

• Reviews, analyzes, develops and maintains drug plans for new group installations and contract modifications by identifying drugs to be covered with the use of new or revised drug plans to meet the groups requirements. Collaborates with Express Scripts Canada staff (i.e. Customer Services, Information Systems, Drug Database, and Clinical Services) and customers to complete requests within standard turnaround times

• Completes the process documentation for new drug plans. Ensures that customers receive completed and accurate documentation within expected timelines

• Maintains formularies and closed drug plans for customers each month by following documented processes to ensure that decisions for drug additions/removals meet group plan contract requirements

• Assists in the maintenance of standard drug plan designs as a result of revisions such as legislation/ industry standard revisions, or in group transfers to Express Scripts Canada

• Performs the quality assurance steps for drug plan management processes for work completed by another DPM Specialist to ensure that completed work accurately reflect plan design specifications

• This includes the review of drug plan design forms, drug exception requests, and Express Script proprietary drug classification data

• Provides support to Customer Services and the Call Centre to respond to queries regarding plan design specifications

• Participates in educational and training programs, both internally and externally. Regularly attends internal Drug Evaluation Committee (DEC) meetings to provide perspective for new drugs currently reviewed

What We’re Looking For:

• 2+ years working experience as a Pharmacy Technician within a hospital and or community setting

• CPHT designation is preferred

• Strong working knowledge of provincial drug plans and range of products offered within a pharmacy

• Proficient with Microsoft Office Suite of tools (Word, Excel, Outlook)

• Must be detail oriented with strong organizational abilities

• Bilingualism (French & English) is considered a strong asset  

Why Join Us?

• Competitive compensation, benefits and pension plan

• Career development and advancement opportunities

• A culture that celebrates innovation and collaboration

• Flexible work options and wellness programs

Pre-Employment Requirements:

All offers of employment are conditional upon the successful completion of reference checks and background verification in accordance with company policy. Within ESC, for certain positions, obtaining and maintaining a federal government security clearance is a condition of employment. Candidates applying for such roles must meet all eligibility criteria for the applicable clearance level and consent to the security screening process as mandated by federal regulations. Failure to obtain or maintain the required clearance will result in withdrawal of the offer or termination of employment.

Our hiring process includes AI-powered tools to conduct video interviews, take notes and score candidates; however, all scores will be reviewed by hiring managers and our Talent team before making a decision.

NOTE: Internal candidates should apply before March 26, 2026.