Pharmacy Claims Auditor, 12 Months Contract - Express Scripts Canada
$63,960–$68,640 year
Hybrid · Mississauga, Ontario, Canada
Job Summary
Auditor conducts claim verifications and desk/on-site audits across Canada to validate provider compliance with benefit plan design and provincial regulations. Responsibilities include communicating with providers to gather information and educate on claim submission practices, assessing provider documentation for ESC provider agreements and provincial rules, calculating adjustments to correct claim transactions, coordinating and traveling to on-site audits, producing detailed, unbiased audit reports, and identifying trends to inform risk criteria changes. Requires independence, strong analytical and communication skills, travel up to 15%, and experience with pharmacy benefits and reimbursement.
Required Qualifications
- Graduate of an accredited pharmacy education program; RPhT designation preferred
- Valid driver’s license and ability to travel in Canada, range of 5-15% of time
- Proficiency in MS Office (Excel, Word, Outlook)
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.