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Provider Relations Representative

2 months ago


Mississauga, Ontario, Canada The Cigna Group Full time

Job Title: Provider Relations Representative

Express Scripts Canada is seeking a highly skilled Provider Relations Representative to join our team in Mississauga. As a key member of our team, you will play a vital role in ensuring seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.

About the Role:

  • Validate completed provider agreements and return them to providers for further review and modifications if information is missing
  • Ensure that all pharmacy, medical supplies & equipment, and dental providers' required agreement information is entered into the Express Scripts Canada System in a timely manner
  • Update pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers' modifications and terminations in a timely manner
  • Handle provider, association, and software vendor inquiries in a supportive and professional manner
  • Collaborate with teammates and assist in other team deliverables as required

Key Qualifications:

  • Post-Secondary school diploma
  • Bilingual an asset (French & English)
  • Excellent written and verbal communication skills
  • Knowledge of healthcare/pharmacy, medical supplies & equipment, or dental benefit administration and claims processing is an advantage
  • Strong customer service focus and understanding of the Express Way Values
  • Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook), and Adobe Reader and Writer
  • 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 ability to shift priorities working within established timelines
  • Demonstrates initiative and self-motivation to grasp new concepts quickly
  • Ability to analyze, problem-solve, and mediate difficult situations
  • Results-oriented with attention to detail

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.

What We Offer:

  • A competitive salary and benefits package
  • A positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service, and alignment
  • An equal opportunity employer that promotes a diverse, inclusive, and accessible workplace