Job Description

Le Service des relations avec les fournisseurs soutient les fournisseurs de soins de sante et communique avec eux en temps opportun et afin de s'assurer de la soumission adequate et du paiement exact des demandes de reglement. De plus, cette equipe veille a l'inscription des fournisseurs et a la gestion de la base de donnees des fournisseurs de soins de sante.


Express Scripts Canada est a la recherche d'un candidat afin de pourvoir au poste de representant au Service des relations avec les fournisseurs. Il travaillera au bureau de Mississauga.


Le titulaire du poste devra passer en revue les ententes conclues avec les fournisseurs de services de medicaments, d'equipement medical et fournitures medicales, de counseling en sante mentale, de soins de la vue et de soins dentaires afin de s'assurer de leur exactitude et de leur integralite. Le titulaire devra par ailleurs s'assurer que tous les renseignements sur les fournisseurs qui ont signe une entente sont saisis correctement dans le systeme d'Express Scripts Canada.

Responsabilites principales

Valider les ententes remplies par les fournisseurs et retourner au fournisseur les documents aux fins de verification et de modification en cas de renseignements manquants. S'assurer que tous les renseignements pertinents sur les nouvelles ententes avec les fournisseurs de services de medicaments, d'equipement medical et fournitures medicales, de counseling en sante mentale, de soins de la vue et de soins dentaires sont rapidement saisis dans le systeme. S'assurer que toutes les modifications aux renseignements sur les fournisseurs de services de medicaments, d'equipement medical et fournitures medicales, de counseling en sante mentale, de soins de la vue et de soins dentaires ainsi que les resiliations de fournisseurs sont effectuees en temps opportun. Repondre aux demandes des fournisseurs, des associations et des vendeurs de logiciels d'une maniere professionnelle et etre en mesure de leur offrir le soutien approprie. Collaborer avec les collegues afin d'aider l'equipe a realiser ses objectifs au besoin

Competences recherchees

Etre titulaire d'un diplome d'etudes secondaires. Etre bilingue (francais et anglais) Avoir une connaissance de la gestion des regimes de soins de sante, de soins medicaux complementaires (equipement medical et fournitures medicales - EMFM), de counseling en sante mentale, de soins de la vue ou de soins dentaires et du traitement des demandes de reglement constitue un atout. Posseder d'excellentes connaissances des logiciels de la suite MS Office (Word, Excel, PowerPoint, Outlook) et d'Adobe (Reader, Writer). Presenter d'excellentes aptitudes en communication orale et ecrite. Etre en mesure d'offrir un excellent service a la clientele. Presenter d'excellentes habiletes interpersonnelles. Etre en mesure de travailler seul, sans grande supervision. Avoir un bon esprit d'equipe et etre capable de suivre les indications d'un superieur. Etre en mesure de s'adapter facilement aux changements et a diverses situations. Bien comprendre la notion d'assurance de la qualite et de l'excellence du service. Posseder un excellent sens de l'organisation et de solides competences en matiere de gestion du temps. Etre en mesure de modifier ses priorites dans le cadre des echeanciers. Etre en mesure d'apprendre les processus et les methodes utilisees et de saisir rapidement les nouveaux concepts. Etre en mesure d'analyser et de resoudre des problemes ou des situations difficiles. Accorder de l'importance aux resultats et avoir le souci du detail.

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Location: Mississauga Head Office

Working Environment: Hybrid, 2 days/week on-site

The role of Provider Relations is to accurately register healthcare providers and maintain a current database in order to support providers by delivering effective and timely communications to ensure seamless claims adjudication and claims payment.



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

Key Responsibilities

Validates completed provider agreements and returns to providers for further review and modifications if information is missing Ensures that all pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers' required agreement information is entered into the Express Scripts Canada System in a timely manner Ensures that all pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers' modifications and terminations are updated in a timely manner Handles provider, association and software vendor inquiries in a supportive and professional manner Collaborates with teammates and assists in other team deliverables as required

Qualifications

Post-Secondary school diploma Bilingualism in French & English Knowledge of healthcare/pharmacy, medical supplies & equipment, mental health care, vision care or dental benefit administration and claims processing is an advantage Proficiency in Microsoft Office applications (Word, Excel, Outlook), and Adobe Reader and Writer Excellent written, and verbal communication skills Strong customer service focus Strong interpersonal skills with ability to work independently with minimal supervision and as a team player Flexible to new situations and adaptable to change A thorough understanding of quality assurance and delivery of service excellence Excellent organizational skills, effective time management, and the ability to shift priorities working within established timelines Demonstrates initiative (learn processes and procedures, various benefits) and displays self-motivation to grasp new concepts quickly Ability to analyze, problem-solve and mediate difficult situations Results-oriented with strong attention to detail

NOTE: Internal Candidates should apply before August 15, 2025.

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 benefits 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(TM) 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 patients-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.


If you require accommodation in completing the online application process, please email: eschr2@express-scripts.com Do not email eschr2@express-scripts.com for an update on your application or to provide your resume as you will not receive a response.