Job Title

Overview Express Scripts Canada has an exciting opportunity for a Dentist who is looking to expand their career to use analytical and investigative skills along with their practice and knowledge of benefit coverage. This part-time role in the Business Integrity team enhances the ESC value proposition for customers by ensuring the integrity of health claims while maintaining a network of providers through diligent review and education. Note: This position includes travelling (25%) across Canada. This is a 12 months contract with a strong possibility of extension. Responsibilities Review provider claims reports to identify abnormal or inconsistent claims submissions Perform on-site audits at the providers location in Canada Review and summarize findings from provider chart/clinical notes, radiographs, lab bills, etc. Review audit reports for quality, accuracy, and proper audit application Provide clinical opinion to support audit specialists Participate as required in peer reviews with external clients Consult with internal and external stakeholders regarding audit activities Continuously review and provide recommendations regarding claims verification risk criteria Qualifications Minimum of 5 years of recent and demonstrated experience within a dental office environment Current registration with a provincial college Ability to manage confidential information Strong focus on quality and accuracy Detail-oriented with proven high-level oral and written communication skills Demonstrates and applies integrity in all aspects of work Excellent time management and organizational skills Knowledge of Microsoft Office software (Word, Excel and PowerPoint) Bilingualism (French & English) is required Note Internal posting will be closed on October 13, 2025. Express Scripts Canada is a Cigna company. Enhanced Reliability Clearance may be required. Accommodation is available for people with disabilities upon request. Additional Information (Franais) Express Scripts Canada offre une occasion de carrire idale un dentiste qui souhaite largir ses horizons professionnels en utilisant ses comptences en matire danalyse et denqute ainsi que ses connaissances en assurance collective. Responsable: Principales responsabilits et qualifications ci-dessous en franais. Responsabilits principales Rviser les rapports sur les demandes de rglement afin de dceler les demandes prsentant des anomalies ou incohrences Effectuer des audits sur place dans les cabinets dentaires au Canada Examiner les notes du dossier, radiographies, factures de laboratoire et rsumer les constatations Examiner les rapports daudit pour la qualit, lexactitude et le respect du processus Donner une opinion professionnelle pour soutenir les spcialistes des audits Participer aux rvisions par les pairs avec les clients externes Discuter des activits daudit avec les intervenants internes et externes Rviser les critres de risque et formuler des recommandations Qualifications (Franais) Five years of recent experience in a dental office Member of a provincial dental association Ability to handle confidential information Quality and accuracy emphasis Detail-oriented with strong communication skills Integrity in all aspects of work Strong time management and organizational skills Microsoft Office proficiency French and English bilingual #J-18808-Ljbffr