City : Toronto

Category : Full Time

Industry : Healthcare

Employer : The Hospital for Sick Children

About Sickkids

Dedicated exclusively to children and their families, The Hospital for Sick Children (SickKids) is one of the largest and most respected paediatric healthcare centres in the world.  As innovators in child health, we lead and partner to improve the health of children through the integration of healthcare, leading-edge research and education.  Our reputation would not have been built - nor could it be maintained - without the skills, knowledge and experience of the extraordinary people who come to work here every day.  SickKids is committed to ongoing learning and development, and features a caring and supportive work environment that combines exceptionally high standards of practice.

When you join SickKids, you become part of our community. We share a commitment and determination to fulfill our vision of Healthier Children. A Better World.

Don't miss out on the opportunity to work alongside the world's best in paediatric healthcare.

Posting Description

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 

• 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 
•  Work closely with physicians, pharmacists, and interdisciplinary teams to identify and address access barriers early 
•  Provide clear, empathetic support to patients and families, including education on coverage, costs, and required documentation 
•  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 

• Pharmacy Technician Diploma, health sciences degree, or equivalent experience 
• Minimum 2 years of retail pharmacy experience required
• Working knowledge of Third-party billing and adjudication 
• Experience with Private insurance claims and troubleshooting 
• knowledge of Ontario Drug Benefit (ODB)/OHIP+, Trillium Drug Program, EAP 
• Experience managing prior authorizations and reimbursement processes 
• Excellent communication skills with a patient- and family-centered approach 
• Strong organizational and follow-up skills with ability to manage multiple cases 
• Problem-solving ability to resolve access and billing issues 
• A commitment to understanding and aiding in the pursuit of equity, diversity & inclusion 

 Preferred Qualifications 

• Regulated Pharmacy Technician (RPhT)  
• Experience in hospital or specialty pharmacy setting  
• Experience working with pediatric or complex care populations 
• Familiarity with biologics, rare disease therapies, or high-cost medications  
• Experience working with pharmaceutical patient support programs 
• Understanding of health equity and financial barriers to care 

 Here's What You'll Love' 

• 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.' 
• A focus on employee wellness with our new Staff Health and Well-being Strategy. Self-care helps us support others.' 
• A focus on employee wellness with our new Staff Health and Well-being Strategy. Self-care helps us support others.' 
• A hospital that welcomes and focuses on Equity, Diversity, and Inclusion.' 
• 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  

Our Commitment to Diversity

SickKids is committed to championing equity, diversity and inclusion in all that we do, fostering an intentionally inclusive and culturally safe environment that reflects the diversity of the patients, families and communities we serve. Learn more about workplace inclusion.

Accessibility & Accommodation

If you require accommodation during the application process, please reach out to our aSKHR team.  SickKids can provide access and inclusion supports to eligible candidates to support their full engagement during the interview and selection process as well as to ensure candidates are able to perform their duties once successfully hired.  If you are invited for an interview and require accommodation, please let us know at the time of your invitation to interview. Information received related to access, inclusion or accommodation will be addressed confidentially.

How to Apply

Technical difficulties? Email ask.hr@sickkids.ca with a short description of the issues you are experiencing. We will not accept resumes sent to this inbox but we are happy to respond to requests for technical assistance.

Tip: Combine your cover letter and resume into ONE document of 20 pages or less as you cannot upload multiple documents as part of your application.

Every application is reviewed by a human recruiter and all hiring decisions are made by people. In some cases, AI-assisted tools are used to help review applications based on job-related qualifications.

All positions posted on the SickKids Hospital's Careers Site represent current vacancies, unless otherwise posted in the job description.