Job Description

THIS IS A 6 MONTH CONTRACT!!!!

In this role, you will be on a team of like-minded, energetic, and motivated people primarily responsible for managing patient profiles and processing prescriptions. That includes a data entry component where you will be creating and maintaining accurate patient medication profiles, entering new prescriptions, and liaising with patients to ensure their medication needs are being met. It also includes a reimbursement component where you will be processing and adjudicating prescriptions, and solving any related issues. In addition to helping Canadian\xe2\x80\x99s live healthier lives, we offer a competitive salary and total rewards package, along with a positive work environment built on solid corporate values: integrity, mutual respect, collaboration and passion for healthcare.

ESSENTIAL FUNCTIONS

• Gather information to create and maintain patient medication profiles
• Accurately enter prescription related information into the pharmacy software
• Manage updates to patient medication profiles in the pharmacy software
• Investigate and solve data entry related escalations
• Accurately process and adjudicate prescriptions through Kroll
• Problem solve adjudication related issues
• Collaborate with other pharmacy team members to adjust and review drug scheduling to ensure timing of medication dispensing support continuation of therapies
• Provide exceptional customer service over the phone and through other communication channels
• Address billing and invoicing issues in a timely manner
• Support inventory control and management
• Escalate complex situations as necessary

QUALIFICATIONS

• 1 year of pharmacy-related experience in a Kroll-pharmacy based setting
• Working knowledge of processing and adjudicating prescriptions
• Proficient in Kroll software
• Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook)
• CRM experience is preferable but not required
• Attention to detail
• Knowledge of pharmaceutical math
• Excellent written, verbal and oral communication skills,
• Team player with the ability to work independently
• Strong work ethic and positive attitude is a must
• Strong interpersonal skills with ability to work independently with minimal supervision
• Flexible to situations and adaptable to change
• 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
• Results-oriented paying attention to detail
• Ability to multi-task

ABOUT THE DEPARTMENT

Pharmacy Operations is responsible for ensuring the efficient operations of the Express Scripts Canada pharmacies. This department is responsible for establishing and maintaining corporate standards of quality, productivity and performance in accordance legislative and regulatory requirements. Further, this department is responsible for overseeing the production levels and service standards associated with pharmacy operations.

NOTE: Internal Posting will close September 21, 2023.

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\xe2\x84\xa2 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: Do not email for an update on your application or to provide your resume as you will not receive a response.

Cigna