In this role, you will be on a team of like-minded, energetic, and motivated people primarily responsible for managing patient profiles and processing prescriptions. That includes a data entry component where you will be creating and maintaining accurate patient medication profiles, entering new prescriptions, and liaising with patients to ensure their medication needs are being met. It also includes a reimbursement component where you will be processing and adjudicating prescriptions, and solving any related issues. In addition to helping Canadian’s live healthier lives, we offer a competitive salary and total rewards package, along with a positive work environment built on solid corporate values: integrity, mutual respect, collaboration and passion for healthcare.

　　ESSENTIAL FUNCTIONS

　　Gather information to create and maintain patient medication profiles

　　Accurately enter prescription related information into the pharmacy software

　　Manage updates to patient medication profiles in the pharmacy software

　　Investigate and solve data entry related escalations

　　Accurately process and adjudicate prescriptions through Kroll

　　Problem solve adjudication related issues

　　Collaborate with other pharmacy team members to adjust and review drug scheduling to ensure timing of medication dispensing support continuation of therapies

　　Provide exceptional customer service over the phone and through other communication channels

　　Address billing and invoicing issues in a timely manner

　　Support inventory control and management

　　Escalate complex situations as necessary

　　QUALIFICATIONS

　　1 year of pharmacy-related experience in a Kroll-pharmacy based setting

　　Working knowledge of processing and adjudicating prescriptions

　　Proficient in Kroll software

　　Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook)

　　CRM experience is preferable but not required

　　Attention to detail

　　Knowledge of pharmaceutical math

　　Excellent written, verbal and oral communication skills,

　　Team player with the ability to work independently

　　Strong work ethic and positive attitude is a must

　　Strong interpersonal skills with ability to work independently with minimal supervision

　　Flexible to situations and adaptable to change

　　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

　　Results-oriented paying attention to detail

　　Ability to multi-task

　　Note: Internal posting will close on February 5, 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.