Express Scripts Canada’s (ESC) Provider Relations department is responsible for maintaining a robust network of healthcare providers (pharmacies, dental providers and extended health care providers) to support the integrity of healthcare claims adjudicated by ESC on behalf of ESC clients. Participating healthcare service providers submit electronic and paper claims to ESC on behalf of their patients, which are plan members of ESC’s insurance, Third Party Administration and Government clients. Provider management services include managing healthcare provider contracts, the registration of providers across Canada, and the maintenance of the ESC provider database as well as communication with these same providers.

　　Reporting to the Senior Provider Relations Manager, the Provider Relations Supervisor is responsible for the day-to-day leadership for the Provider Relations team located in both Mississauga, Toronto, and Montreal locations. The Supervisor provides leadership to the team in the following areas: teamwork, monitors and controls for oversight of service delivery, operational excellence, people development, performance management, change management, client service, and innovation.

　　The Supervisor provides support to internal and external clients, and to external health and dental providers, provider associations, professional colleges, pharmacy chains, software vendors, and third-party suppliers. The Supervisor will address urgent/escalated matters relating to provider registrations, contracts and maintenance of records, access to remittance statements and website services.

　　The Provider Relations Supervisor will ensure team adherence to ESC policies, client commitments, best practices and/or administrative processes for consistently meeting service delivery standards, which includes responding in a timely manner to both internal and external client and provider inquiries. This role will directly contribute to building a high-performance culture by continuous development of team and processes to drive value for ESC clients.

　　ESSENTIAL FUNCTIONS:

　　Provide day to day leadership and support to the Provider Relations team to achieve corporate and department strategic goals and objectives

　　Work with the Senior Provider Relations Manager to develop and execute on initiatives that align with corporate goals/objectives and drive best outcomes

　　Monitor and improve where necessary the tracking and operational controls to maximize ability to meet service standards and objectives for turnaround time and quality. Develop mitigation plans as required to proactively reduce risk and minimize impact to providers and internal/external clients

　　Review and communication of monthly operational reports and visual dashboards to ensure visibility on current status of service delivery and insights on trends and patterns

　　Using data driven insights on trends and patterns, provide recommendations on opportunities to streamline, automate and improve existing services

　　Using the ESC corporate human resource tools, regular check-ins, weekly one-on-one discussions and day-to-day coaching, the Provider Relations Supervisor will actively support the development of skills and capabilities for team members to enable personal and business growth.

　　Develop and execute training plans that will ensure team members are provided with the appropriate tools, including evergreen process documentation, to reach success in their roles including professional development career goals

　　Prioritize workload and ensure the oversight and coordination of daily work assignments

　　Manage and communicate with health and dental providers, associations, professional colleges, pharmacy chains, software vendors, third party suppliers and internal/external clients

　　Develop and maintain cross functional relationships to support teams where there is a dependency related to Provider Relations business functions

　　Ownership of applicable business processes and handling of special projects as assigned

　　QUALIFICATIONS:

　　Minimum of 3-5 years’ experience in a supervisory/leadership role

　　Experience in Group Benefits and/or Pharmacy Benefit Management

　　Post-secondary diploma, degree or equivalent experience

　　Excellent people management and leadership skills

　　Ability to demonstrate leadership through effective mentoring and coaching of others to achieve results

　　Fosters teamwork and partnerships across teams

　　Self-driven, curious, ability to work independently with minimal supervision

　　Strong organizational skills and proven ability to manage competing priorities in a fast-paced environment

　　Strong focus on quality and accuracy

　　Creative problem solver with positive influencing abilities.

　　Excellent interpersonal skills

　　Excels at providing and receiving feedback in a constructive manner

　　Manages and addresses performance issues to support employees achieve success

　　Proven analytical and strategic thinking

　　Strong problem solving, resiliency and decision-making skills

　　Strong focus on client service

　　Ability to identify opportunities and develop a plan to implement process improvements

　　Ability to adapt and prioritize workload

　　Strong presentation skills

　　Occasional travel to Montreal will be required

　　Excellent verbal and written communication skills

　　Working knowledge of Microsoft Office suite of tools (Word, Excel, Outlook) and Adobe

　　French is an asset

　　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.