Pharmacy Claims Auditor

The Pharmacy Claims Auditor will be a key member of the Business Integrity team at Cigna Health and Life Insurance Company, located in Mississauga.We are seeking a highly skilled auditor with recent retail pharmacy experience to conduct various types of audits across Canada. The ideal candidate will have a working knowledge of pharmacy software and be...

Why Crawford & Company?At Crawford & Company, we strive to be at the forefront of change, leveraging our unmatched global expertise and industry-leading technology to deliver exceptional results. As a Claims Auditor/Trainer, you will be part of a global network of professionals working together to help people through challenging times.We offer a dynamic work...

About Rx Connect Specialty PharmacyRx Connect Specialty Pharmacy is a Canadian company founded in 2019, comprised of healthcare professionals with extensive specialty medication experience. We have locations in Mississauga, Ontario, and Calgary, Alberta.Our mission is to provide excellent customer service and personalized care to our patients while ensuring...

Company OverviewRx Connect Specialty Pharmacy is a distinguished Canadian company, founded in 2019, comprised of healthcare professionals with extensive specialty medication experience. Our mission is to provide excellent customer service and personalized care to our patients while ensuring they have access to affordable medications.SalaryWe offer a...

Company OverviewCrawford & Company is a global leader in the claims management industry, with over 80 years of experience and a presence in over 70 countries.We are passionate about helping people through difficult times and restoring lives, businesses, and communities.Job DescriptionAs a Claims Auditor/Trainer, you will play a critical role in reviewing our...

Rx Connect Specialty Pharmacy is a Canadian company that provides excellent customer service and personalized care to patients with chronic and complex medical conditions.We are seeking a Registered Pharmacy Technician to join our team in Waterloo, Ontario. The ideal candidate will be proficient with Kroll Pharmacy Management Software and experienced in...

About Crawford & CompanyCrawford & Company is a global leader in claims management and outsourcing, dedicated to helping people through some of the most difficult times in their lives. With over 80 years of experience and a presence in over 70 countries, we are committed to delivering exceptional results and exceeding our clients'...

Rx Connect Specialty Pharmacy Job OverviewFounded in 2019, Rx Connect Specialty Pharmacy is a Canadian company with locations in Mississauga, Ontario, and Calgary, Alberta. We provide patient-centric care for individuals with complex medical conditions.About the Position:We seek a Registered Pharmacy Technician to join our team at our Waterloo location. As a...

Rx Connect Specialty Pharmacy, a reputable Canadian company founded in 2019, is seeking a Registered Pharmacy Technician to join their team in Waterloo. With two locations in Mississauga and Calgary, Ontario, and Alberta respectively, the pharmacy specializes in providing medications for patients with chronic and complex medical conditions, such as HIV,...

We are seeking a highly skilled Registered Pharmacy Technician to join our team at Rx Connect Specialty Pharmacy in Waterloo, Ontario. As a key member of our team, you will be responsible for providing exceptional customer service and ensuring that patients have access to affordable medications.Our pharmacy specializes in providing medications for patients...

Company Overview:Rx Connect Specialty Pharmacy is a respected Canadian company, established in 2019, with healthcare professionals experienced in specialty medication. Our mission is to provide personalized care and excellent customer service to patients while ensuring affordable medications.Salary:The estimated annual salary for this position is around...

Rx Connect Specialty Pharmacy is a Canadian company founded in 2019, specializing in providing medications for patients with chronic and complex medical conditions. Our mission is to offer excellent customer service and personalized care to our patients while ensuring they have access to affordable medications.About the Position:We are seeking a Registered...

Job OverviewRx Connect Specialty Pharmacy, a proud Canadian company founded in 2019, is seeking a Registered Pharmacy Technician to join its team in Waterloo. Our mission is to provide excellent customer service and personalized care to patients while ensuring access to affordable medications.We specialize in providing medications for patients with chronic...

Cigna Health and Life Insurance Company seeks a highly skilled Pharmacy Audit Specialist to join its Business Integrity team in Mississauga, ON. As a valued member of our team, you will play a crucial role in ensuring the integrity of health claims while maintaining a network of providers.Job Type: Full-timeSalary: $85,000 - $110,000 per yearJob...

Job Description:Cigna is seeking a highly skilled Pharmacy Risk Advisor to join our team in [location]. As a key member of our FWA (Fraud Waste and Abuse) team, you will play a critical role in identifying and mitigating risks within our pharmacy network.Responsibilities:Provider Profiling: Utilize internal tools and external referrals to identify potential...

About the RoleThe Specialty Pharmacy Reimbursement Representative plays a vital role in streamlining the financial and administrative processes associated with dispensing specialty medications.Key ResponsibilitiesVerify patient insurance coverage for specialty medications and maintain prior authorization tracking.Ensure that all documentation required by...

Established in 2019, Rx Connect Specialty Pharmacy is a proud Canadian organization comprised of healthcare professionals with extensive experience in specialty medication. Our mission is to provide exceptional customer service and personalized care to our patients while ensuring they have access to affordable medications.About the RoleWe are seeking a...

Cigna Health and Life Insurance Company is seeking a highly skilled Clinical Services Associate to join our team. This is a full-time, hybrid remote role that requires strong expertise in pharmacy management.**Estimated Salary:** $55,000 - $70,000 per yearAbout the RoleThe Clinical Services Associate works closely with clinical pharmacists to manage clinical...

As a Clinical Services Associate at Cigna Health and Life Insurance Company, you will play a critical role in managing clinical formularies and programs.About the RoleThis position is a hybrid of remote and on-site work, with a full-time schedule. You will work closely with Clinical Pharmacists to administer prior authorization requests, answer clinical...

The Pharmaceutical Reimbursement Expert plays a crucial role in the efficient and accurate processing of specialty medication claims. This position requires exceptional attention to detail, effective communication skills, and the ability to navigate complex financial transactions.Key Responsibilities:Verify Patient Insurance Coverage: Ensure that patients...