Bilingual Provider Relations Representative - EXPRESS SCRIPTS CANADA

The Cigna Group•Montreal, QC

2d•Hybrid

About The Position

Express Scripts Canada’s Provider Relations Department is responsible for managing provider contracts, registering healthcare providers across Canada, maintaining the ESC provider database, and communicating effectively with these providers. Providers submit electronic and paper claims to ESC on behalf of their patients, who are plan members of ESC’s insurance and Third‑Party Administration customers. Express Scripts Canada is seeking to hire a Bilingual Provider Relations Representative to work from our Mississauga or Montreal office. The successful incumbent will review network agreements from pharmacy, medical supplies and equipment, mental health care, vision care, and dental providers for accuracy and completeness, and will ensure that all providers’ pertinent information is correctly entered into the Express Scripts Canada system.

Requirements

Post-secondary school diploma or equivalent required.
Basic proficiency in computer use and data entry, including familiarity with keyboarding and standard office software.
Minimum of 2-3 years of experience working in an office and/or customer service environment.
Proficiency in Microsoft Office applications (Word, Excel, Outlook) and Adobe Reader and Writer.
Excellent written and verbal communication skills.
Strong customer service focus.
Ability to accurately enter, update, and maintain data in electronic systems or databases.
Strong interpersonal skills, with the ability to work independently with minimal supervision as well as collaboratively in a team environment.
Flexibility in adapting to new situations and change.
Ability to follow clear instructions, standard procedures, and established workflows.
Results-oriented with strong attention to detail and accuracy when performing repetitive tasks.
Thorough understanding of quality assurance principles and the delivery of service excellence.
Demonstrates initiative by learning processes, procedures, and various benefit areas, and displays self-motivation to grasp new concepts quickly
Excellent organizational skills, effective time management, and the ability to shift priorities while working within established timelines.
Bilingualism in French and English is a must.

Nice To Haves

Knowledge of healthcare/pharmacy, medical supplies and equipment, mental health care, vision care, or dental benefit administration and claims processing is an advantage.

Responsibilities

Support for Provider Relations administrative tasks.
Review and validate completed provider agreements, returning them to providers for corrections or additional information when required.
Perform quality assurance checks on both self‑completed work and team submissions to ensure all output meets departmental quality standards.
Ensure all required agreement information for pharmacy, medical supplies and equipment, mental health care, vision care, and dental providers is accurately entered into the Express Scripts Canada system in a timely manner.
Process and update provider modifications and terminations across all benefit areas accurately and within established timelines.
Respond to inquiries from providers, associations, and software vendors in a professional, supportive, and customer‑focused manner, in their preferred language.
Collaborate with team members and support additional team deliverables as needed.
Contribute to upcoming project work and perform other duties as assigned.