Bilingual Dental Consultant - Part-time - Express Scripts Canada

Express Scripts Canada

Mississauga, Canada
Base: $100.00ph-$110.00ph; bonus/equity: not speci...
Hybrid
Bilingualism (french & english) required
Provider claims review
On-site audits
This part-time role in the Business Integrity team enhances 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

Job Summary

  • This part-time role in the Business Integrity team enhances 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.
  • Review provider claims reports to identify abnormal or inconsistent claims submissions and perform on-site audits at the provider’s location in Canada.
  • Express Scripts Canada is a wholly owned subsidiary of Express Scripts, one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company.

Matching Summary

This part-time role in the Business Integrity team enhances 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.

Salary

Base: $100.00/hour-$110.00/hour; Bonus/Equity: Not specified; Benefits: Competitive compensation, benefits and pension plan

Skills & Requirements

Must-have

  • Bilingualism (French & English) required
  • Provider claims review
  • On-site audits
  • Clinical opinion for audits
  • Confidential information management

Nice-to-have

  • Innovative solutions development
  • Collaborative team culture
  • Continuous improvement recommendations

Key Requirements

  • Minimum 5 years dental office experience
  • Current provincial dental college registration
  • Ability to manage confidential information
  • Strong focus on quality and accuracy
  • Excellent communication skills
  • Excellent time management
  • Proficiency in Microsoft Office
  • Bilingualism (French & English)

Work Rights

Enhanced Reliability Clearance required

Tailored Resume

Cover Letter