Bilingual Provider Relations Representative - 6 Months Contract - Express Scripts Canada

The job profile for this position is Credentialing Lead Representative, which is a Band 2 Professional Career Track Role.

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Job Title: Bilingual Provider Relations Representative

Location: Mississauga- Montreal
Employment Type: Contract

Reason for Vacancy: Replacement

Work Arrangement: Hybrid
Department Name: Provider Relations

Pay Type: Hourly

Pay Range: $25.00 to $28.00 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.

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.

Job Summary:

Express Scripts Canada's Provider Relations Department is responsible for managing provider contracts, registering healthcare providers across Canada, maintaining the ESC provider database, and communicating effectively with these 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.

Express Scripts Canada is seeking to hire a Bilingual Provider Relations Representative to work from our Mississauga or Montreal office. The successful incumbent will review network agreements from pharmacy, medical supplies and equipment, mental health care, vision care, and dental providers for accuracy and completeness, and will ensure that all providers' pertinent information is correctly entered into the Express Scripts Canada system.

Key Responsibilities

• Support for 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 Express Scripts Canada 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 required.
• Basic proficiency in computer use and data entry, including familiarity with keyboarding and standard office software.
• Minimum of 2-3 years of experience working in an office and/or customer service environment.
• Proficiency in Microsoft Office applications (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, with the ability 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 the delivery of service excellence.
• Demonstrates initiative by learning processes, procedures, and various benefit areas, and displays self motivation to grasp new concepts quickly
• Excellent organizational skills, effective time management, and the ability to shift priorities while working within 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.
• Bilingualism in French and English is a must.

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.

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Poste : Représentant bilingue, Service des relations avec les fournisseurs

Lieu de travail : Mississauga- Montréal
Type d'emploi : Temps plein

Raison de l'embauche : Remplacement

Environnement de travail : Hybride
Nom du service : Service des relations avec les fournisseurs

Type de rémunération : Horaire

Échelle salariale : 25.00 $ à 28.00 $. Veuillez noter qu'il s'agit d'une échelle salariale générale et que l'offre variera en fonction de l'expérience, des qualifications, des compétences requises et du lieu de travail pour ce poste.

À propos de nous

Express Scripts Canada 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. Express Scripts Canada est une filiale en propriété exclusive d'Express Scripts, l'un des plus importants gestionnaires de régime d'assurance médicaments en Amérique du Nord qui fait partie du Cigna Group (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.

Sommaire de l'emploi :

Le Service des relations avec les fournisseurs d'Express Scripts Canada assume la responsabilité de la gestion des contrats avec les fournisseurs, de l'inscription des fournisseurs de soins de santé au Canada, de la maintenance de la base de données des fournisseurs d'Express Scripts Canada, ainsi que de la communication efficace avec ces mêmes fournisseurs. Les fournisseurs soumettent à Express Scripts Canada des demandes de paiement, sous forme électronique ou papier, pour leurs patients qui participent aux régimes qu'Express Scripts Canada gère au nom de ses clients assureurs et tiers administrateurs.

Express Scripts Canada est à la recherche d'un candidat afin de pourvoir au poste de représentant, Service des relations avec les fournisseurs. Il travaillera au bureau de Mississauga ou de Montréal. Le titulaire du poste devra passer en revue les ententes conclues avec les fournisseurs de services de médicaments, d'équipement médical et de fournitures médicales, de counseling en santé mentale, de soins de la vue et de soins dentaires afin de s'assurer de leur exactitude et de leur intégralité. Le titulaire devra par ailleurs s'assurer que tous les renseignements sur les fournisseurs qui ont signé l'entente sont saisis correctement dans le système d'Express Scripts Canada.

Responsabilités principales

• Apporter son soutien aux tâches administratives relatives aux relations avec les fournisseurs.
• Examiner les ententes avec les fournisseurs, et les retourner aux fournisseurs pour effectuer des corrections ou pour obtenir des renseignements additionnels, le cas échéant.

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