Bilingual Dental Auditor

4 weeks ago


Montréal, Canada The Cigna Group Full time

The role of the Fraud, Waste and Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations. The Auditor uses their analytical and investigative skills along with their practice and knowledge of provincial benefit coverage to identify trends observed from claim reviews and to ensure that the audit techniques evolve to remain effective in managing risk for ESC customers.

**NOTE**: This is a contract position for 12 months with a possibility of extension.

**Essential Functions**:
Perform claim verifications, desk and/or on-site audits
Communicate with providers to gather information for audits, to educate on claim submission practices and to respond to queries in regards to audit results
Assess provider documentation to ensure compliance with enrolment agreement, benefit plan design and provincial regulations.
Calculate the adjustments required to correct claim transactions
Prepare, coordinate and travel to conduct on-site audit at the provider’s location, and complete the post on-site audit activities
Compile and produce audit reports that are detailed and unbiased
Perform self and peer-review to ensure accuracy and quality of claim reviews
Track audit activity and summarize results of claim analysis and recoveries on a daily and/or monthly basis for department statistics for presentation to customers
Recommend incremental and continuous ideas that will increase ability to prevent and manage risk that will bring the most value to customers
Respond to internal and external customer questions professionally, timely and accurately
Other duties and responsibilities as assigned

**Qualifications**:
2-5 years recent experience in a dental office environment with working knowledge of dental software and fee codes
Valid driver’s license and ability to travel in Canada, range of 20-30% of time
Graduate of post-secondary educational program either as a dental assistant or dental hygienist with a valid license
Bilingualism (French & English) is a must.
Experience in data analysis, financial and statistics.
Experience in report writing.
In-depth knowledge of dental benefits, reimbursement and dental regulations
Previous audit/investigation experience is an asset
Ability to manage confidential information
Effective time management and organizational skills
Strong critical thinking skills with ability to analyze, problem-solve and mediate difficult situations
Self-driven, curious, capable of working independently with mínimal supervision

**Strong interpersonal skills**: team player and ability to work cross-functionally with other departments
Flexible, resourceful, with a mindset that embraces and champions change
Ability to manage high priority tasks in a fast paced environment
Ability to research and effectively communicate findings
Passionate about development and continuous learning
Excellent verbal and written communication skills
Proficiency in MS Office (Excel, Word, Outlook).
LOMA or HIAA training would be an asset

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 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.

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 en



  • Montréal, Canada The Cigna Group Full time

    The role of the Fraud, Waste and Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Dental Benefit Auditor is responsible to conduct various types of audits across Canada to validate that...


  • Montréal, Canada The Cigna Group Full time

    The role of the Fraud, Waste & Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

  • IT Internal Auditor

    5 days ago


    Montréal, Canada CAE Inc. Full time

    **Role and Responsibilities** **IT Internal Audit** - Plan and executeITGC control testing under SOX certification program. - Plan and execute operational Information Systems Internal Audit projects. - Assist and coordinate activities with the external auditors and the IT department to ensure external auditors receive correct data and proper interpretations...

  • IT Internal Auditor

    5 days ago


    Montréal, Canada CAE Inc. Full time

    Role and Responsibilities IT Internal Audit Plan and executeITGC control testing under SOX certification program. Plan and execute operational Information Systems Internal Audit projects. Assist and coordinate activities with the external auditors and the IT department to ensure external auditors receive correct data and proper interpretations of processes,...

  • Dental Receptionist

    3 days ago


    Montréal, Canada Raviv Dental Center Full time

    Small modern family oriented dental center located in the heart of Montréal. We’re looking for a receptionist/office manager with previous dental administration experience to help us run the clinic operation (applicants without Dental administration experience will not be considered). Applicant must enjoy communicating with people and be good at it, have...

  • Dental Receptionist

    2 months ago


    Montréal, Canada Raviv Dental Center Full time

    Small modern family oriented dental center located in the heart of Montréal. We’re looking for a receptionist/office manager with previous dental administration experience to help us run the clinic operation (applicants without Dental administration experience will not be considered). Applicant must enjoy communicating with people and be good at it, have...


  • Montréal, QC, Canada Rubicon Path Full time

    Our client, the BIG FOUR consulting firm, is hiring for the Auditor position in Montreal . This is a hybrid, contract position. The candidate must have experience in one of the following audit domains: Internal Audits, IT Audits, or Assessments of Internal Controls. The hourly compensation rate is negotiable. Must be bilingual. The Auditor may be...


  • Montréal, Canada BFL CANADA Full time

    **We offer more than a job, we offer a career!** - We support our employees to shape their career by encouraging continuing education and investing in training and development. - We put our employees at the center of what we do to allow them to grow personally and professionally, with projects and challenges that are motivating and rewarding. - We inspire...

  • Dental Receptionist

    6 days ago


    Montréal, Canada Dr. Bergman Dental Office Full time

    We are looking for a receptionist to add to our warm and busy family dental practice. RESPONSIBILITIES: - Greet patients - Schedule and confirm appointments - Answer telephone calls - Take payments, issue receipts and submit insurance claims QUALIFICATIONS: - Bilingual (French and English) - Experience using dental software an asset - Able to multi-task...

  • Dental Assistant

    21 hours ago


    Montréal, Canada NUÒ Dental - Dr. Manuel Bautista Full time

    **Fantastic Long-Term Career Opportunity** This is an excellent opportunity for clinicians (Dental Hygienist or Dental Assistants) in transition to administrative role. **Requirements**: - Exceptional personal skills to interact with patients and coworkers. - Group work oriented with a good sense of shared responsibilities. - Computer skills. - Solid...

  • Night Auditor

    2 months ago


    Montréal, Canada SENS Høtel et le Château Versailles Full time

    **Workplace**: 1808 Sherbrooke Street West, Montreal, QC, H3H 1E5 **Status**: Part-time **Salary**: $25.96 per hour Interested in working in an environment inspired by Japanese philosophy? Are you a mínimalist, organized, and refined people? The SENS Hotel is perfect for you. Located on Sherbrooke Street, the largest street in the city, this hotel offers...

  • Night Auditor

    2 weeks ago


    Montréal, Canada Le Mount Stephen Full time

    **Work place**: 1440 Drummond St, Montreal, Quebec H3G 1V9 **Status**: Part-time **Salary**: $24.16 per hour The Mount Stephen is a Montreal boutique hotel located in the heart of downtown, in the Golden Square Mile district. This luxurious hotel accommodates up to 400 people; in 85 rooms and/or 5 prestigious suites. Whether you join the team to work for...

  • Dental Receptionist

    2 months ago


    Montréal, Canada Dr William Steinman Dental Office Full time

    **About us** We are professional, customer-centric, and fast-paced. Our work environment includes: - Modern office setting We are hiring a dental receptionist to welcome and greet our patients, handle administrative duties and customer service inquires. Dental receptionist duties include answering incoming calls, scheduling appointments, verifying...

  • Night Auditor

    4 weeks ago


    Montréal, Canada SENS Høtel et le Château Versailles Full time

    **Work place**:1808 Sherbrooke St W, Montreal, Quebec H3H 1E5 **Schedule Type**: Full-time **Salary**: $26.60 per hour Are you interested in working in an environment inspired by Japanese philosophy? Are you a mínimalist by nature, organized and refined in character? The SENS Hotel is the perfect fit for you. Located on Sherbrooke Street, the largest...

  • Night Auditor

    2 months ago


    Montréal, Canada Le Nouvel Hôtel Montréal Full time

    **Work place**:1740 Rene-Levesque West, Montreal, QC H3H 1R3 **Status**: part-time Located in downtown Montreal, the Nouvel Hotel gives you quick access to all means of transportation. You want to be surrounded by passionate professionals, this 4-star hotel is ready to receive you. In addition, the location of the hotel gives you a variety of choices for...

  • Night Auditor

    1 month ago


    Montréal, Canada SENS Høtel et le Château Versailles Full time

    **Workplace**: 1808 Sherbrooke Street West, Montreal, Quebec H3H 1E5 **Status**: Full-time **Salary**: 26.60$ per hour Are you interested in working in an environment inspired by Japanese philosophy? Are you a mínimalist by nature, organized and refined in character? The SENS Hotel is the perfect fit for you. Located on Sherbrooke Street, the largest...

  • Financial Auditor

    2 months ago


    Montréal, Canada Office of the Auditor General of Canada Full time

    Education: Bachelor's degree - Experience: Will train **Workplace information**: - Remote work available **Health benefits**: - Dental plan - Disability benefits - Health care plan - Paramedical services coverage - Vision care benefits **Long term benefits**: - Group insurance benefits - Life insurance - Long-term care insurance - Maternity and parental...

  • Night Auditor

    2 months ago


    Montréal, Canada HOTEL10 Montréal Full time

    **Work place**:10 Sherbrooke O, Montréal, Québec H2X 4C9 **Status**: part-time Established in a building that is both mythical and contemporary, HOTEL10 is an absolutely unique boutique hotel that will make you discover and experience Montreal culture in all its forms. Located on Sherbrooke Street at the corner of Saint-Laurent Boulevard, HOTEL10 is at...

  • Night Auditor

    1 week ago


    Montréal, Canada HOTEL10 Montréal Full time

    **Workplace**: 10 Sherbrooke O, Montreal, Quebec H2X 4C9 **Status**: Full-time **Salary**: 23.92$ per hour plus a night bonus Established in a building that is both mythical and contemporary, HOTEL10 is an absolutely unique boutique hotel that will make you discover and experience Montreal culture in all its forms. Located on Sherbrooke Street at the...

  • Internal Auditor

    3 weeks ago


    Montréal, Canada CGI Full time

    **Internal Auditor**: **Category**: Finance **Main location**: Canada, Montreal **Position ID**: J0922-3401 **Employment Type**: Full Time **Position Description**: **Your future duties and responsibilities**: - Undertake business processes and internal audits, risk assessments focusing on controls, processes and business systems to provide management...