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Provider Relations Specialist
2 months ago
Job Title: Provider Relations Representative
We are seeking a highly skilled Provider Relations Representative to join our team at Express Scripts Canada, a Cigna company. As a key member of our team, you will play a critical role in reviewing network agreements from various healthcare providers, ensuring accuracy and completeness, and entering pertinent information into our system.
Key Responsibilities:
- Validate completed provider agreements and return them to providers for further review and modifications if necessary.
- Ensure timely entry of pharmacy, medical supplies & equipment, and dental providers' required agreement information into our system.
- 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 professional and supportive manner.
- Collaborate with teammates and assist in other team deliverables as required.
Qualifications:
- Post-secondary school diploma.
- Bilingualism is 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 - understanding 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 willing to take direction.
- 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, paying attention to detail.
What We Offer:
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 are prepared to provide accommodation for people with disabilities.
