What Youll Do :
Reporting to the Executive Vice President Group Insurance youll be responsible for executing a multi-year strategy that integrates group insurance expansion and innovative health service delivery. This role drives the development of a comprehensive health ecosystem anchored in pharmacy services dental care mental health diabetes care and womens health while also preparing the organization to operate as a fully capable third-party payor for health and dental claims. The role requires a visionary with deep expertise in benefits healthcare delivery models provider integration and organizational change.
The core parts of your role will be to :
Pharmacy Services Expansion
- Working with our partners at Cubic and MemberRx expand pharmacy services within Group and GL&DC including clinical programs medication management chronic disease support and digital solutions.
- Pursue new plan sponsors and other revenue sources through pharmacy-focused initiatives partnerships and value-added services.
Health Hub Vision and Go-To-Market Approach
Develop and oversee a comprehensive Health Hub that integrates pharmacy dental mental health diabetes care and womens health services for clients and members.Direct the creation of care pathways digital access options data-driven engagement tactics and case management resources.Establish partnerships with healthcare providers digital platforms and wellness experts to enhance clinical outcomes and increase savings in employer benefit programs.Promote the Health Hub as a central element in client retention attraction and growth.Create a framework for assessing value including return on investment clinical results decreased utilization and member satisfaction.Third-Party Payor Readiness
Lead transformation initiatives required for the organization to evolve into a fully operational Third-Party Payor (TPP) for health and dental claims.Execute technology modernization operational redesign data integration and compliance frameworks that support TPP functionality.Build and / or acquire capabilities for claims adjudication network management fraud / waste / abuse prevention provider contracting and payment integrity.Partner with finance operations and technology leaders to ensure scalable systems and processes aligned with regulatory requirements.Dental Practice Integration
Develop strategy for integrating dental practices into the organization including care delivery models employee and member experience design and alignment with benefit plan objectives.Lead change management and operational work required to embed dental services into the broader OTIP and health hub ecosystem.Leadership Influence & Cross-Functional Collaboration
Collaborate with Employee Experience to foster a sales-oriented culture within Group Insurance enhancing our commercial approach. Create strategies work with the Employee Experience team to review and implement compensation plans and metrics that support business development activities.Act as a senior advisor to executive leadership providing guidance on healthcare trends changes in the benefits market and potential opportunities for innovation.Qualifications :
Lets Talk About You :
This is the unique blend of skills and experience we would love to see in an ideal candidate :
1015 years leadership experience in group benefits healthcare strategy pharmacy services or digital health.Experience building or scaling health programs pharmacy initiatives or integrated care models.Strong skills in group benefits product development revenue growth and partnership management.Proven ability to lead enterprise transformation especially in claims operations TPP models healthcare services or provider integration.Familiar with regulated health industries claims systems clinical service delivery and compliance.Strategic thinking skills and demonstrated experience simplifying health ecosystems into practical solutions.Extensive experience in group insurance pharmacy services and emerging mental chronic and womens health trends.Proficient in fostering partnerships and navigating complex multi-stakeholder settings.Demonstrated leadership in operations change management digital transformation and integration initiatives.Outstanding communicator with a confident executive presence.Working Conditions :
A general office environment -managing teams across the Administration team.Travel may be required.May be required to work overtime.Additional Information :
Salary Range :
This position offers a competitive salary within a range along with rewarding bonuses that recognize your dedication.
At the OTIP Group of Companies (OGC) we value transparency and take multiple factors into account when determining your starting salary including your skills experience and alignment with the role as well as internal equity while positioning you for continued growth and recognition over time.
Some of the Perks We Offer :
We offer best-in-class pension and benefits total reward programs and comprehensive mental wellness support to set you up for every success in and outside of work. Here are just some of the reasons youll love working here :
Defined benefit pension plan for a financially confident retirement100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)Access to a wealth of learning resources including LinkedIn Learning for professional developmentFlexible work-from-home and hybrid optionsUnlock your potential with opportunities for advancementRecruitment Process :
Please note that we do not currently use artificial intelligence (AI) in our recruitment process and this position is being posted to fill an existing vacancy.
OTIP and its group of companies strive to create an accessible and inclusive work environment where everyone is treated with respect and dignity. Upon individual request we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.
As a business we protect what matters most to our members. As an employer we value what matters most in our workplace. Together this includes fostering a diverse equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are and our differences are what make us unique.
We are an equal opportunity employer and encourage applications from all qualified individuals. We thank all applicants for their interest; however only candidates selected for an interview will be contacted.
Lets work together! If you are interested in this opportunity please apply online.
#LI-Remote #LI-Hybrid
Remote Work : No
Employment Type : Full-time
Key Skills
Change Management,Financial Services,Growing Experience,Managed Care,Management Experience,Analysis Skills,Senior Leadership,Performance Management,Process Management,Leadership Experience,negotiation,Analytics
Experience : years
Vacancy : 1