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**Job Title: Bilingual Dental Consultant****Location:** Mississauga/Montreal **Employment Type:** Part Time/Contract**Reason for Vacancy:** Replacement**Work Arrangement:** Hybrid **Department Name:** Fraud, Waste and Abuse**Pay Type:** Hourly**Pay Range:** $100.00/hour-$110.00/hour 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.*Express Scripts Canada (ESC) is* the leader in health benefits management. 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. Express Scripts Canada is a wholly* *owned subsidiary of Express Scripts, 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:**Express Scripts Canada has an exciting opportunity for a **Dentist** who is looking to expand their career to use their analytical and investigative skills along with their practice and knowledge of benefit coverage. This part-time role in the Business Integrity team enhances the Express Scripts Canada (ESC) value proposition for customers to ensure 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.****Key Responsibilities*** Review provider claims reports to identify abnormal or inconsistent claims submissions* Perform on-site audits at the providers location in Canada* Review & 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**What Were Looking For:*** 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.* 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. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**Poste :** **Dentiste-conseil bilingue****Lieu de travail :** Mississauga/Montreal **Type demploi :** Temps partiel / Contractuel**Raison de lembauche :** Remplacement**Environnement de travail :** Tltravail **Nom du service :** Audits sur la fraude, le gaspillage et labus**Type de rmunration :** Horaire**chelle salariale :** 100,00 $ 110,00 $. Veuillez noter quil sagit dune chelle salariale gnrale et que loffre variera en fonction de lexprience, des qualifications, des comptences requises et du lieu de travail pour ce poste.** propos de nous***Express Scripts Canada est le chef de file en matire de gestion de rgimes de soins de sant. Nous offrons des services plus de 12 millions de participants et nous aidons les assureurs, les tiers administrateurs et le secteur public optimiser la valeur des rgimes de soins de sant en utilisant notre expertise professionnelle, nos systmes de pointe en gestion de linformation ainsi que notre technologie. Express Scripts Canada est une filiale en proprit exclusive dExpress Scripts, lun des plus importants gestionnaires de rgime dassurance mdicaments en Amrique du Nord qui fait partie du Cigna Group (NYSE: CI), une socit mondiale de soins de sant. Ensemble, nous offrons des solutions novatrices et efficientes qui amliorent laccs, labordabilit et les rsultats sur le plan de la sant pour les Canadiens.***Sommaire de lemploi :**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. Le poste de dentiste-conseil temps partiel au sein du Services des audits sur la fraude, le gaspillage et labus consiste offrir des services valeur ajoute aux clients dExpress Scripts Canada. Le dentiste-conseil doit veiller lintgrit des demandes de rglement pour soins dentaires et sassurer que lentreprise conserve un solide rseau de fournisseurs grce des examens diligents et des conseils.Ce poste implique des dplacements (25%) travers le Canada.**Responsabilits principales*** Rviser les rapports sur les demandes de rglement afin de dceler les demandes de rglement qui prsentent des anomalies ou des incohrences.* Effectuer des audits sur place, dans des cabinets dentaires au Canada.* Examiner les notes consignes aux dossiers des patients, les radiographies, les factures de laboratoire et rsumer ses constatations.* Examiner les rapports daudit afin den assurer la qualit et lexactitude et de confirmer que le processus daudit a bien t suivi.* Donner une opinion professionnelle afin dapporter du soutien aux spcialistes des audits.* Participer des rvisions par les pairs, au besoin, avec les clients lexterne.* Discuter des activits daudit avec les intervenants linterne et lexterne.* Rviser les critres de risque relatifs la vrification des demandes de rglement et faire des recommandations.**Ce que nous recherchons :*** Possder cinq annes dexprience rcente dans un cabinet dentaire.* tre membre dune association dentaire provinciale.* tre en mesure de grer des renseignements confidentiels.* Mettre laccent sur la qualit et lexactitude.* tre minutieux et possder dexcellentes habilets de communication loral comme lcrit.* Faire preuve dintgrit dans tous les aspects de son travail.* Possder dexcellentes aptitudes en gestion du temps et avoir un bon sens de lorganisation.* Connatre les logiciels de la suite Microsoft Office (Word, Excel et PowerPoint)* tre bilingue (franais et anglais), loral comme lcrit.* Rmunration, avantages sociaux et rgime de retraite concurrentiels* #J-18808-Ljbffr