The role of Provider Relations is to accurately register healthcare providers and maintain a current database in order to support providers by delivering effective and timely communications to ensure seamless claims adjudication and claims payment.

　　The successful incumbent will review network agreements from pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers for accuracy and completeness and ensure that all providers’ pertinent information is correctly entered into the Express Scripts Canada system.

　　NOTE: This is an on-site position Part-time ( 21 hours per week) contract position working out of Mississauga or Montreal Head Office.

　　Key Responsibilities

　　Validates completed provider agreements and returns to providers for further review and modifications if information is missing

　　Ensures that all pharmacy, medical supplies & equipment and dental providers’ required agreement information is entered into the Express Scripts Canada System in a timely manner

　　Ensures that all pharmacy, medical supplies & equipment, mental health care, visions care, and dental providers’ modifications and terminations are updated in a timely manner

　　Handles provider, association and software vendor inquiries in a supportive and professional manner

　　Collaborates with teammates and assists in other team deliverables as required

　　Qualifications

　　Post-Secondary school diploma

　　Bilingual an asset (French & English)

　　Excellent written, and verbal communication skills

　　Knowledge of healthcare/pharmacy, medical supplies & equipment or dental benefit administration and claims processing is an advantage

　　Strong customer service focus - understanding the Express Way Values

　　Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook), and Adobe Reader and Writer

　　Strong interpersonal skills with ability to work independently with minimal supervision; and as a team player willing to take direction

　　Flexible to new situations and adaptable to change

　　A thorough understanding of quality assurance and delivery of service excellence

　　Excellent organizational skills, effective time management, and the ability to shift priorities working within established timelines

　　Demonstrates initiative (learn processes and procedures, various benefits) and displays self-motivation to grasp new concepts quickly

　　Ability to analyze, problem-solve and mediate difficult situations

　　Results-oriented paying attention to detail.

　　NOTE: Internal candidates should apply before January 15, 2024.

　　Express Scripts Canada is a Cigna company

　　Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

　　About Express Scripts Canada

　　Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

　　It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

　　We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

　　We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

　　We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

　　If you require accommodation in completing the online application process, please email: [email protected] Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.