Bilingual Client Technical Analyst​/Analyste technique de régimes - poste bilingue - Express Scripts

Job Title:
Bilingual Client Benefits Technical Analyst

Location: Mississauga or Montreal
Employment Type: Full-time

Reason for Vacancy: Replacement

Work Arrangement: Hybrid
Department Name: Customer Service Department

Pay Type: Salaried

Pay Range: $53,000 to $58,000. 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.

Job Summary:

The primary function of the Client Benefit Technical Analyst is to act as a key point of contact for all Health Benefit inquiries and issues for our customers - insurance companies and third party administrators (TPAs). The Client Benefit Technical Analyst will ensure that relationships with our customers are effectively maintained. The Customer Services team provides support to customers on Pharmacy, Dental and Health plans coverage.

The team also provides customer support on various database, IT, adjudication inquiries, and coordinating with other departments to fully support customers

Key Responsibilities:

• Provide technical expertise on Drug, Dental & Extended Health Benefits related issues as requested by customers, such as claim adjudication and payment questions.

• Support ESC Clinical team with the implementation of new and existing clinical programs, formularies, and new business development products.

• Provide support to Account Managers on various strategic initiatives, communications and promotion of Express Scripts Canada’s products to the marketplace.

• Support customers with impact analysis as needed.

• Act as the liaison between the customer and other Express Scripts Canada departments and work closely alongside these internal operational representatives to identify and resolve customer needs.

• Facilitate and attend various meetings with customers and internal partners.

• Train customers and internal partners on various applications.

• Provide back up to Customer Support Specialist (Call Centre)

What We’re Looking For:

• University Degree, College Diploma or Equivalent experience

• Bilingual in French and English written and verbal is preferred

• Experience in the field of Group Insurance, Pharmacy, Dental or Health Benefits Plans

• Pharmacy technician background and/or knowledge of government drug programs (Ontario Drug Benefits, Provincial Formularies, RAMQ) is an asset

• Excellent Customer Service capabilities

• Strong analytical, critical thinking and problem solving skills

• Ability to multitask and prioritize based on urgency

• Able to work effectively with both internal/external customers and internal/external contacts

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…