30 Jul
|
Express Scripts Pharmacy Benefit Services
|
Mississauga
30 Jul
Express Scripts Pharmacy Benefit Services
Mississauga
Job Title: Bilingual Provider Relations Representative
Location: Mississauga – Montreal
Employment Type: Full-time
Reason for Vacancy: Replacement
Work Arrangement: Hybrid
Department Name: Provider Relations
Pay Type: Salaried
Pay Range: $46,000 to $52,000 (varies based on experience, qualifications, skills, location)
About Us
Express Scripts Canada (ESC) is a leading health benefits management company serving over 12 million members. We help insurance carriers, third‑party administrators, and the public sector optimize the value of health benefits. ESC is a wholly owned subsidiary of Express Scripts Inc., part of The Cigna Group.
Job Summary
Express Scripts Canada’s Provider Relations Department manages provider contracts, registers healthcare providers across Canada, maintains the ESC provider database, and communicates with providers. Providers submit electronic and paper claims to ESC on behalf of their patients, who are plan members of ESC’s insurance and third‑party administration customers.
The Bilingual Provider Relations Representative will review network agreements from pharmacy, medical supplies and equipment, mental health care, vision care, and dental providers for accuracy and completeness, ensuring all pertinent information is correctly entered into the Express Scripts Canada system.
Key Responsibilities
- Support Provider Relations administrative tasks.
- Review and validate completed provider agreements, returning them to providers for corrections or additional information when required.
- Perform quality assurance checks on both self‑completed work and team submissions to ensure all output meets departmental quality standards.
- Ensure all required agreement information for pharmacy, medical supplies and equipment, mental health care, vision care, and dental providers is accurately entered into the system in a timely manner.
- Process and update provider modifications and terminations across all benefit areas accurately and within established timelines.
- Respond to inquiries from providers, associations, and software vendors in a professional, supportive, and customer‑focused manner, in their preferred language.
- Collaborate with team members and support additional team deliverables as needed.
- Contribute to upcoming project work and perform other duties as assigned.
What We’re Looking For
- Post‑secondary school diploma or equivalent.
- Basic proficiency in computer use and data entry, including familiarity with keyboarding and standard office software.
- Minimum of 2-3 years of experience in an office and/or customer service environment.
- Proficiency in Microsoft Office (Word, Excel, Outlook) and Adobe Reader and Writer.
- Excellent written and verbal communication skills.
- Strong customer service focus.
- Ability to accurately enter, update, and maintain data in electronic systems or databases.
- Strong interpersonal skills, able to work independently with minimal supervision as well as collaboratively in a team environment.
- Flexibility in adapting to new situations and change.
- Ability to follow clear instructions, standard procedures, and established workflows.
- Results‑oriented with strong attention to detail and accuracy when performing repetitive tasks.
- Thorough understanding of quality assurance principles and service excellence.
- Displays initiative by learning processes, procedures,
and various benefit areas, and self‑motivated to grasp recent concepts quickly.
- Excellent organizational skills and effective time management, able to shift priorities while meeting established timelines.
- Knowledge of healthcare/pharmacy, medical supplies and equipment, mental health care, vision care, or dental benefit administration and claims processing is an advantage.
- Bilingual in French and English (required).
Perks
- Competitive compensation, benefits and pension plan.
- Career development and advancement opportunities.
- A culture that celebrates innovation and collaboration.
- Flexible work options and wellness programs.
Pre‑Employment Requirements
All offers of employment are conditional upon the successful completion of reference checks and background verification in accordance with company policy. For certain positions, obtaining and maintaining a federal government security clearance is a condition of employment. Candidates must meet all eligibility criteria for the applicable clearance level and consent to the security screening process.
Our hiring process includes AI‑powered tools for video interviews, note‑taking and scoring, but all scores will be reviewed by hiring managers and the Talent team before a decision is made.
Equal Opportunity Statement
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 their best.
We are committed to creating a barrier‑free work environment and are prepared to provide accommodation for people with disabilities. If you require accommodation in completing the online application process, please email (Do not email for an update on your application or to provide your resume.)
#J-18808-Ljbffr
📌 Bilingual Provider Relations Representative/Représentant bilingue, Service des relations avec l[...] (Mississauga)
🏢 Express Scripts Pharmacy Benefit Services
📍 Mississauga