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 advantages an asset
- Valid driver’s license with Canadian travel ability
- Proficiency in Excel, Word, and Outlook

Use pharmacy-informed claims review, compliance assessment, and clear communication to strengthen Express Scripts Canada’s provider audit work.

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