11 Sep
|
Cigna Healthcare
|
Mississauga
11 Sep
Cigna Healthcare
Mississauga
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 by linking the talent and professional expertise of our people with leading edge information management systems and technology. ESC is a wholly owned subsidiary of Express Scripts Inc., one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for Canadians.
À propos de nous
ExpressScriptsCanada est le chef de file en matière de gestion de régimes de soins de santé. Nous offrons des services à plus de 12 millions de participants et nous aidons les assureurs, les tiers administrateurs et le secteur public à optimiser la valeur des régimes de soins de santé en utilisant notre expertise professionnelle, nos systèmes de pointe en gestion de l’information ainsi que notre technologie. ExpressScriptsCanada est une filiale en propriété exclusive d’ExpressScripts Inc., l’un des plus importants gestionnaires de régime d’assurance médicaments en Amérique du Nord qui fait partie du CignaGroup (NYSE: CI), une société mondiale de soins de santé. Ensemble, nous offrons des solutions novatrices et efficientes qui améliorent l’accès, l’abordabilité et les résultats sur le plan de la santé pour les Canadiens.
Title
Bilingual Clinical Services Associate
Location
Mississauga/Montréal
Employment Type
Full-time
Reason for Vacancy
Replacement
Work Arrangement
Hybrid
Department Name
Prior Authorization and Drug Plan Management Department
Pay Type
Salaried
Pay Range
55,000 to $65,000 annually.
Please note that this is a general posting range and offer range will be varied based on relevant experience, qualifications, skills required and location for this role.
Job Summary
The Bilingual Clinical Services Associate supports the delivery of clinical formulary and pharmacy benefit programs by partnering closely with Clinical Pharmacists and cross‑functional teams. This role coordinates prior authorization workflows, responds to clinical and operational inquiries, maintains program and formulary data,
and produces reporting and analysis to support decision-making, service excellence, and continuous improvement.
Key Responsibilities
- Support Clinical Pharmacists in the day‑to‑day administration of clinical formularies and pharmacy benefit programs, including implementing approved criteria and maintaining program configuration in internal systems.
- Administer and review prior authorization requests in accordance with established service standards and client requirements.
- Maintain and support updates to the ESC drug database, including product and formulary information.
- Serve as a resource to internal teams, including Drug Plan Management, Drug Database, Marketing, and Customer Service.
- Compile, track, and maintain key performance metrics and operational reports as required.
What We’re Looking For
- Bachelor’s degree in a science‑related field.
- Registered Pharmacy Technician designation is considered an asset.
- Bilingualism in English and French both written and spoken is required.
- Knowledge of the RAMQ drug formulary and applicable clinical criteria.
- Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint; experience with Adobe is an asset.
- Excellent organizational skills, with the ability to manage multiple priorities in a quick‑paced environment.
Why Join Us
- 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. Within ESC, for certain positions, obtaining and maintaining a federal government security clearance is a condition of employment. Candidates applying for such roles must meet all eligibility criteria for the applicable clearance level and consent to the security screening process as mandated by federal regulations.
Failure to obtain or maintain the required clearance will result in withdrawal of the offer or termination of employment.
Our hiring process includes AI‑powered tools to conduct video interviews, take notes and score candidates; however, all scores will be reviewed by hiring managers and our Talent team before making a decision.
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 advantages 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 patient‑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.
📌 Adjoint bilingue, Services cliniques, Bilingual Clinical Services Associate - Express Scripts Canada (Mississauga)
🏢 Cigna Healthcare
📍 Mississauga