30 Jul
|
Express Scripts Pharmacy Benefit Services
|
Mississauga
30 Jul
Express Scripts Pharmacy Benefit Services
Mississauga
Be part of Express Scripts Canada as an Extended Healthcare Claims Auditor. Use your analytical skills in a hybrid role focusing on compliance in Mississauga.
This contract position within the Fraud, Waste, and Abuse department requires a detail-oriented professional with 2-5 years in healthcare. You will conduct audits across Canada, applying your pharmacy knowledge to ensure provider compliance with health regulations. The role supports key compliance initiatives through detailed analysis and effective communication.
Key Responsibilities:
• Execute audits and claim verifications both on-site and remotely
• Educate providers on claim submission protocols
• Review provider documentation for adherence to regulations
• Prepare comprehensive audit findings and recommendations
• Analyze trends to recommend risk management strategies
Requirements:
• 2-5 years healthcare experience required
• Graduate of pharmacy program; RPhT designation preferred
• Ability to travel within Canada as needed
• Proficient in data analysis and report generation
• Robust organizational and time management skills
Contribute to enhancing healthcare claims integrity and provider compliance at Express Scripts Canada.
#J-18808-Ljbffr
📌 Extended Claims Auditor at Express Scripts (Mississauga)
🏢 Express Scripts Pharmacy Benefit Services
📍 Mississauga