The role of the FWA team is to proactively detect and address risks in a timely manner that effectively manages the financial risk and reputation of Express Scripts Canada (ESC) customers. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations. The Auditor uses their analytical and investigative skills along with their practice and knowledge of provincial benefit coverage to identify trends observed from claim reviews and to ensure that the audit techniques evolve to remain effective in managing risk for ESC customers.
L’équipe des audits sur la fraude, le gaspillage et l’abus est chargée de déceler et d’atténuer les risques rapidement. Cela permet de gérer les risques financiers et de veiller à la réputation des clients d’Express Scripts Canada. L’auditeur est chargé d’effectuer différents types d’audits partout au Canada afin de vérifier si les fournisseurs respectent les dispositions des régimes et les règles de pratique professionnelle. L’auditeur utilise ses compétences en matière d’analyse et d’enquête ainsi que ses connaissances et son expérience dans le domaine des soins de santé et des régimes provinciaux afin de déceler des tendances dans les demandes de règlement. Il s’assure également que les techniques d’audit demeurent efficaces afin d’optimiser la gestion des risques auxquels les clients d’Express Scripts Canada sont exposés.
Express Scripts Canada is a Cigna company
Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.
About Express Scripts Canada
Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada’s leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.
It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.
We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.
We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.
We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.
If you require accommodation in completing the online application process, please email: [email protected] Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.