Talent.com
Medical Operations Associate - Senior
Medical Operations Associate - SeniorIndependence Pet Group • Ajax, ON, CA
No longer accepting applications
Medical Operations Associate - Senior

Medical Operations Associate - Senior

Independence Pet Group • Ajax, ON, CA
7 days ago
Job type
  • Full-time
Job description

Overview

Independence Pet Holdings (IPH) is a corporate holding company that manages a diverse portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. IPH believes pet insurance is more than a financial product and builds solutions to simplify the pet parenting journey and improve pet well-being. IPH operates with a multi-brand and omni-channel approach that includes its own insurance carrier, insurance brands, and partner brands. Independence Pet Group (IPG) , a subsidiary of IPH, is one of North America’s largest pet insurance and services organizations with brands such as Figo, Felix, ASPCA Pet Health Insurance, Pets Plus Us, and AKC Pet Insurance, supporting insurance for more than 1,000,000 pets in the U.S. and Canada and offering well-being, safety, and resources to the pet industry.

Job location : Remote

Job Summary : The Medical Operations Associate is a licensed veterinarian who supports and expands medical governance, clinical adjudication capacity, and cross-departmental veterinary expertise of the Medical Director. This role applies independent clinical judgment, regulatory-aware medical decision-making, and advanced interpretive skills to insurance operations, product strategy, policy interpretation, legal defensibility, and enterprise-wide medical initiatives. The position functions as the junior analogue to the Medical Director and requires a licensed professional capable of clinical reasoning, risk identification, and contribution to organizational medical standards.

Key Responsibilities

  • Clinical Evaluation & Independent Medical Judgment

Interpret veterinary medical records, diagnostics, and treatment plans to form clinically sound assessments used in complex claim adjudication and appeals.

  • Determine causation, chronicity, recurrence, and medical necessity using established veterinary standards.
  • Identify medical risk factors, confounding conditions, and inconsistencies that may materially affect claim outcomes.
  • Recommend final coverage outcomes when those outcomes depend on medical interpretation or professional veterinary judgment.
  • Produce clinically defensible analyses that support claims decisions, appeals strategy, and legal positioning.
  • Medical Governance, Standards, and Risk Management
  • Apply and help refine internal medical standards, adjudication guidelines, and clinical logic frameworks.

  • Evaluate existing policy wording from a medical standpoint to identify gaps, ambiguities, and operational risk; provide recommendations for future improvements.
  • Assess new diagnostics, treatments, and emerging therapies to ensure operational readiness and alignment with evolving veterinary practice.
  • Support the medical components of fraud investigations, high-risk case reviews, and regulatory or legal inquiries requiring licensed expertise.
  • Cross-Functional Veterinary Consultation
  • Provide clinically grounded advice to Claims, Appeals, Legal, Compliance, Marketing, Product, and other internal teams.

  • Translate medical concepts into clear, accurate, and operationally appropriate language for non-clinical stakeholders.
  • Participate in cross-departmental decision-making where medical insight influences operational, legal, or strategic outcomes.
  • Strategic & Enterprise Medical Support
  • Support enterprise initiatives requiring veterinary insight across insurance and non-insurance business units (including microchip and registry operations).

  • Serve as a licensed extension of the Medical Director, assuming delegated responsibilities during absences, high-volume periods, or concurrent organizational priorities.
  • Contribute to long-term medical governance planning, including horizon scanning, literature review, and evaluation of industry trends with business impact.
  • Communication, Documentation & Internal Knowledge Stewardship
  • Develop high-quality written analyses, medical summaries, and interpretive documents that meet clinical, legal, and regulatory standards.

  • Review internal and external materials for medical accuracy and alignment with current standards of care.
  • Enhance, organize, and expand internal repositories of medical knowledge, case examples, and clinical reference tools for adjuster use.
  • Design and deliver internal medical presentations, including lunch-and-learns, case reviews, or training modules to build organizational clinical literacy.
  • Maintain accurate, accessible internal medical documentation to support adjudication consistency and enterprise medical governance.
  • Professional Duties
  • Uphold licensed professional standards, ensuring clinical integrity and risk-appropriate interpretation in all work performed.

  • Performs other professional responsibilities requiring veterinary expertise as assigned.
  • Experience
  • 5+ years of clinical veterinary experience in small animal medicine, including independent case management, diagnostic interpretation, and client-facing medical decision-making.

  • French language proficiency is an asset.
  • Education
  • Doctor of Veterinary Medicine (DVM / VMD / DMV or equivalent), licensed and in good standing in at least one jurisdiction (US or Canada).

  • Considered Only If No Suitable DVM Applicants Apply
  • A highly experienced, licensed Veterinary Technician (RVT / LVT / CVT) may be considered only if DVM recruitment is unsuccessful, recognizing that scope of work would be limited and not reflective of the full preferred role.

  • Accountability / Complexity
  • Exercises independent medical judgment affecting claims outcomes, legal risk, customer impact, and policy interpretation.

  • Routinely evaluates complex medical scenarios involving ambiguous presentations, non-standardized documentation, comorbidities, differential diagnoses, and emerging therapies.
  • Supports the Medical Director in establishing and enforcing medical governance, including coverage standards, medical quality, and operational risk mitigation.
  • Responsible for producing clinically defensible analyses that may be used in legal dispute resolution, regulatory review, fraud investigations, and strategic decision-making.
  • Coordinates across multiple departments, providing authoritative veterinary insight requiring a licensed professional skillset.
  • Expected to expand medical capacity within the organization and serve as part of the continuity and succession plan for enterprise veterinary leadership.
  • Benefits

  • Comprehensive full medical, dental and vision insurance
  • Basic life insurance at no cost to the employee
  • Company paid short-term and long-term disability
  • 12 weeks of 100% paid parental leave
  • Health Savings Account (HSA)
  • Flexible Spending Accounts (FSA)
  • Retirement savings plan
  • Personal Paid Time Off
  • Paid holidays and company-wide Wellness Day off
  • Paid time off to volunteer at nonprofit organizations
  • Pet friendly office environment
  • Commuter Benefits
  • Group Pet Insurance
  • On the job training and skills development
  • Employee Assistance Program (EAP)
  • #J-18808-Ljbffr

    Create a job alert for this search

    Medical Operations Associate Senior • Ajax, ON, CA

    Similar jobs
    Senior Clinical Data Manager

    Senior Clinical Data Manager

    Warman O'Brien • oshawa, on, ca
    Permanent
    Senior Lead Clinical Data Manager | CRO - FSP |.Take your Clinical Data Management career to the next level! Join a global, innovative CRO and lead high-impact clinical studies while shaping data s...Show more
    Last updated: 30+ days ago • Promoted
    Clinic Director : Lead Clinicians, Elevate Patient Care

    Clinic Director : Lead Clinicians, Elevate Patient Care

    Lifemark • Pickering
    Full-time
    A prominent healthcare provider in Ontario seeks a Clinic Director to lead a dynamic team and foster clinical excellence. This role requires overseeing operations, inspiring the clinical staff, and ...Show more
    Last updated: 3 days ago • Promoted
    Medical Office Assistant Instructor

    Medical Office Assistant Instructor

    Herzing College • oshawa, ON, ca
    Full-time
    Herzing College is seeking a qualified and experienced Medical Office Assistant (MOA) professional to join our faculty team as an Instructor in the Medical Office Assistant program.This position is...Show more
    Last updated: 4 days ago • Promoted
    Sr. Clinical Data Team Lead

    Sr. Clinical Data Team Lead

    Connect Life Sciences • oshawa, on, ca
    Full-time
    Minimum of 5 years of experience as an independent lead, with an overall 10 years of CDM experience.The role involves independently managing the end-to-end delivery of data management services for ...Show more
    Last updated: 10 days ago • Promoted
    Remote Freelance Project Manager – Patient & HCP Education & Engagement Platform

    Remote Freelance Project Manager – Patient & HCP Education & Engagement Platform

    Community Health Marketing (CHM) • oshawa, on, ca
    Remote
    Full-time
    Remote Freelance Project Manager.This role serves as the operational backbone of cross-functional initiatives, driving timelines, accountability, and execution excellence.This is a remote role that...Show more
    Last updated: 5 days ago • Promoted
    Proposal Manager - Precision For Medicine

    Proposal Manager - Precision For Medicine

    Precision For Medicine • oshawa, on, ca
    Full-time
    Develop client focused budgets and proposals for the conduct of Phase I-IV clinical trials, including simple bid grid mapping with manager support. Work in collaboration with global operational revi...Show more
    Last updated: 2 days ago • Promoted
    Physician (Family Medicine), Cosmetic Injectables

    Physician (Family Medicine), Cosmetic Injectables

    Skin Vitality Medical Clinic • Ajax L0H, ON, Canada
    Full-time
    On-site / Clinic-based / Ajax / Whitby.Training Provided | No Prior Aesthetic Experience Required.Canadian-licensed Family Physicians. This role is ideal for physicians looking to : .Diversify their sco...Show more
    Last updated: 3 days ago • Promoted
    Onsite Lab Operations Lead — Health Services

    Onsite Lab Operations Lead — Health Services

    DynaCare Inc • Ajax
    Full-time
    A leading healthcare solutions provider is seeking a Team Lead for Health Services in Ajax, Ontario.This role involves overseeing daily operations, coaching staff, and ensuring quality patient care...Show more
    Last updated: 3 days ago • Promoted
    Senior Global Clinical Trial Manager - Oncology Hematology - Home Based - Canada - ICON Strategic Solutions

    Senior Global Clinical Trial Manager - Oncology Hematology - Home Based - Canada - ICON Strategic Solutions

    ICON Strategic Solutions • oshawa, on, ca
    Remote
    Full-time
    As a Senior Global Clinical Trial Manager, you will be joining the world’s largest & most comprehensive clinical research organisation, powered by healthcare intelligence.Joining a well-established...Show more
    Last updated: 27 days ago • Promoted
    Clinical Data Management Specialist

    Clinical Data Management Specialist

    Warman O'Brien • oshawa, on, ca
    Full-time
    Senior Data Team Lead / Specialist – Clinical Data Management - USA / Canada - Remote.Are you ready to lead global clinical data management projects that shape the future of healthcare?.We’re looki...Show more
    Last updated: 30+ days ago • Promoted
    Medical Science Liaison

    Medical Science Liaison

    Brunel • oshawa, ON, ca
    Full-time
    Alberta, Ontario, or Quebec (Field-Based, Remote) 12-month full-time contract (with potential extension) Show more
    Last updated: 14 days ago • Promoted
    Medical Secretary Casual

    Medical Secretary Casual

    Durham Community Health Centre • Pickering, ON, CA
    Full-time
    Quick Apply
    Position Title : Medical Secretary Casual (Vacancies 3).This is a Bargaining Unit position.All terms and conditions of the collective bargaining agreement apply. This Posting is for an Existing Vacan...Show more
    Last updated: 30+ days ago
    Senior Clinical Data Manager - Barrington James

    Senior Clinical Data Manager - Barrington James

    Barrington James • oshawa, on, ca
    Full-time
    Senior Clinical Data Manager - CRO - Remote.Barrington James is proud to partner with a highly respected well established CRO client, seeking an experienced Senior Clinical Data Manager to join the...Show more
    Last updated: 1 day ago • Promoted
    Product Manager (B2B SaaS / Healthcare AI)

    Product Manager (B2B SaaS / Healthcare AI)

    Ubie • oshawa, ON, ca
    Full-time
    The Opportunity 🚀 Are you an experienced Product Manager looking to build the future of AI-driven healthcare? Ubie is seeking a Product Manag...Show more
    Last updated: 14 days ago • Promoted
    Senior Global Clinical Trial Manager - Oncology Hematology - Home Based - Canada

    Senior Global Clinical Trial Manager - Oncology Hematology - Home Based - Canada

    ICON Strategic Solutions • oshawa, on, ca
    Remote
    Full-time
    As a Senior Global Clinical Trial Manager, you will be joining the world’s largest & most comprehensive clinical research organisation, powered by healthcare intelligence.Joining a well-established...Show more
    Last updated: 27 days ago • Promoted
    Senior Clinical Data Manager

    Senior Clinical Data Manager

    Barrington James • oshawa, on, ca
    Full-time
    Senior Clinical Data Manager - CRO - Remote.Barrington James is proud to partner with a highly respected well established CRO client, seeking an experienced Senior Clinical Data Manager to join the...Show more
    Last updated: 1 day ago • Promoted
    Medical Director - Whitby, ON

    Medical Director - Whitby, ON

    VEG ER for Pets • Whitby, Durham Region, Canada
    Full-time
    VEG is a rapidly growing emergency company with hospital locations across the United States and now in Canada.Our mission is helping people and their pets when they need it most.We are revolutioniz...Show more
    Last updated: 6 hours ago • Promoted • New!
    Sr. Clinical Data Team Lead - Connect Life Sciences

    Sr. Clinical Data Team Lead - Connect Life Sciences

    Connect Life Sciences • oshawa, on, ca
    Full-time
    Minimum of 5 years of experience as an independent lead, with an overall 10 years of CDM experience.The role involves independently managing the end-to-end delivery of data management services for ...Show more
    Last updated: 10 days ago • Promoted