The Drug Access Navigator (DAN) supports children, youth, and their families in accessing essential medications by navigating complex drug funding and reimbursement pathways.
Working within the pediatric outpatient pharmacy, this role combines retail pharmacy expertise with specialized knowledge of reimbursement processes to coordinate medication coverage, address access barriers, and facilitate timely initiation of therapy.
The DAN plays a key role in enhancing the patient and family experience, reducing delays in care, and supporting the efficient delivery of outpatient pharmacy services'particularly for high-cost, specialty, and chronic medications
Here's What You'll Get To Do
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Assess and coordinate access to medications by navigating public (ODB, Trillium, EAP) and private drug coverage programs
- Manage end-to-end reimbursement processes, including prior authorizations, funding applications, and appeals
- Collaborate with insurers, government programs, and patient support programs to secure timely medication access
- Monitor application status, troubleshoot issues, and resolve delays, denials, or coverage gaps
- Apply retail pharmacy expertise to support prescription adjudication, billing, and coordination of benefits
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Work closely with physicians, pharmacists, and interdisciplinary teams to identify and address access barriers early
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Provide clear, empathetic support to patients and families, including education on coverage, costs, and required documentation
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Advocate for patients by escalating complex funding issues and coordinating transitions of care (e.g., inpatient to outpatient)
- Contribute to process improvements by supporting workflow development, tracking key metrics, and identifying opportunities to enhance efficiency and patient experience
Here's What You'll Need:
Essential Requirements
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Pharmacy Technician Diploma, health sciences degree, or equivalent experience
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Minimum 2 years of retail pharmacy experience required
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Working knowledge of Third-party billing and adjudication
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Experience with Private insurance claims and troubleshooting
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knowledge of Ontario Drug Benefit (ODB)/OHIP+, Trillium Drug Program, EAP
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Experience managing prior authorizations and reimbursement processes
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Excellent communication skills with a patient- and family-centered approach
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Strong organizational and follow-up skills with ability to manage multiple cases
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Problem-solving ability to resolve access and billing issues
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A commitment to understanding and aiding in the pursuit of equity, diversity & inclusion
Preferred Qualifications
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Regulated Pharmacy Technician (RPhT)
- Experience in hospital or specialty pharmacy setting
- Experience working with pediatric or complex care populations
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Familiarity with biologics, rare disease therapies, or high-cost medications
- Experience working with pharmaceutical patient support programs
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Understanding of health equity and financial barriers to care
Here's What You'll Love'
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This position is eligible for employee benefits coverage; including health and dental. The full benefits offered will be discussed at the time of position offer.'
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A focus on employee wellness with our new Staff Health and Well-being Strategy. Self-care helps us support others.'
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A focus on employee wellness with our new Staff Health and Well-being Strategy. Self-care helps us support others.'
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A hospital that welcomes and focuses on Equity, Diversity, and Inclusion.'
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The opportunity to make an impact. Regardless of your role or professional interest, you will be making a difference at SickKids and contributing to our vision of Healthier Children. A Better World.
Employment Type; Full time-1.00FTE
