Bring pharmacy knowledge to extended healthcare claims auditing for Express Scripts Canada, based in hybrid Mississauga work with travel across Canada. Review compliance evidence carefully.
This contract Auditor role suits Pharmacy Assistants or Pharmacy Technicians seeking insight-driven work with clinical knowledge. You will examine claim transactions, provider records, reimbursement practices, benefit designs, and provincial regulations. The position also requires communicating findings professionally, protecting confidential information, and researching inconsistencies. Your analysis will help identify trends and potential audit candidates.
Key Responsibilities: Verify claims and investigate provider documentation
Educate providers on compliant submission practices




Calculate and document required transaction adjustments
Perform self and peer reviews for accuracy
Recommend continuous improvements to risk management
Requirements: Recent healthcare environment experience of two to five years
Accredited pharmacy program graduate
Knowledge of extended healthcare benefits an asset
Valid driver’s license with Canadian travel ability
Proficiency in Excel, Word, and Outlook
Use pharmacy-informed claims review, compliance assessment, and explicit communication to strengthen Express Scripts Canada’s provider audit work.

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📌 Pharmacy Claims Compliance Auditor (Ontario)
🏢 Cigna Health and Life Insurance
📍 Ontario