Provider Relations Representative - Provider Relations

Job Title: Provider Relations Representative

Location: Mississauga
Employment Type:  6 Months Contract, Part-Time

Hours: 21 hours

Reason for Vacancy: Replacement

Work Arrangement: Hybrid, one day/ week on-site
Department Name: Provider Relations

Pay Type: Hourly

Pay Range: $25.00 to $26.50. Please note that this is a general posting range and offer range will be varied based on relevant experience, qualifications, skills required and location for this role.

About Us

Express Scripts Canada (ESC) is a leading health benefits management company. Serving over 12 million members, we help insurance carriers, third party administrators, and the public sector optimize the value of health benefits by linking the talent and professional expertise of our people with leading edge information management systems and technology. ESC is a wholly owned subsidiary of Express Scripts Inc., one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for Canadians.

Please note, Part-time employees are required to work 21 hours per week, primarily during regular business hours.

Job Summary:

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.

Key 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.

What We’re Looking For:

• Post‑secondary school diploma or equivalent required.
• 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, with bilingual proficiency in English and French as an asset.
• 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.
• Knowledge of healthcare/pharmacy, medical supplies and equipment, mental health care, vision care, or dental benefit administration and claims processing is an advantage.

Why Join Us?

• Competitive compensation, benefits and pension plan
• Career development and advancement opportunities
• A culture that celebrates innovation and collaboration
• Flexible work options and wellness programs

Pre-Employment Requirements

All offers of employment are conditional upon the successful completion of reference checks and background verification in accordance with company policy. Within ESC, for certain positions, obtaining and maintaining a federal government security clearance is a condition of employment. Candidates applying for such roles must meet all eligibility criteria for the applicable clearance level and consent to the security screening process as mandated by federal regulations. Failure to obtain or maintain the required clearance will result in withdrawal of the offer or termination of employment.

Our hiring process includes AI-powered tools to conduct video interviews, take notes and score candidates; however, all scores will be reviewed by hiring managers and our Talent team before making a decision.