Job description
Company Description
- Who We Are
With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.
At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day. And that’s why we mean it when we say we put our people at the centre of everything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.
Job Description
What You’ll Do:
Reporting to the Executive Vice President, Group Insurance, you’ll 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 women’s 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 women’s 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
Let’s Talk About You:
This is the unique blend of skills and experience we would love to see in an ideal candidate:
- 10–15+ 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 women’s 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 you’ll love working here:
- Defined benefit pension plan for a financially confident retirement
- 100% 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 development
- Flexible work-from-home and hybrid options
- Unlock your potential with opportunities for advancement
Recruitment 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.
Let’s work together! If you are interested in this opportunity, please apply online.
#LI-Remote, #LI-Hybrid
