Adjoint bilingue, Services cliniques, Bilingual Clinical Services Associate - Express Scripts Canada

Cigna Healthcare; Mississauga; Hybrid; CAD 55,000 - 65,000; Full time

Benefits offered by this job

Competitive compensation

Benefits and pension

Career development

Flexible work options

Job summary

Express Scripts Canada in Mississauga—a Cigna company—seeks a Bilingual Clinical Services Associate to support clinical formulary and PBM programs. You will coordinate prior authorization workflows, respond to clinical inquiries, maintain data, and produce reporting to enable decision-making and continuous improvement.

The role requires a Bachelor’s degree in science, bilingual English/French, and strong MS Office skills.

Qualifications

• Bachelor’s degree in a science-related field.
• RAMQ formulary knowledge or related clinical criteria is preferred.
• Bilingual in English and French, written and spoken, is required.
• Proficiency with Microsoft Office applications (Word/Excel/Outlook/PowerPoint) and familiarity with Adobe is a plus.
• Strong organizational skills and ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Support Clinical Pharmacists in day-to-day administration of clinical formularies and PBM programs.
• Administer and review prior authorization requests per standards and client requirements.
• Maintain and support updates to the ESC drug database and formulary information.
• Serve as a resource to internal teams including Drug Plan Management, Drug Database, Marketing, and Customer Service.
• Compile, track, and maintain key performance metrics and operational reports.

Skills

Bilingual (EN/FR)

Organizational skills

RAMQ formulary knowledge

Microsoft Office

PowerPoint/Adobe asset (bonus)

Education

Bachelor’s degree in a science field

Tools

Microsoft Office (Word, Excel, Outlook)

Adobe (asset)

Job description

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.

À propos de nous

ExpressScriptsCanada est le chef de file en matière de gestion de régimes de soins de santé. Nous offrons des services à plus de 12 millions de participants et nous aidons les assureurs, les tiers administrateurs et le secteur public à optimiser la valeur des régimes de soins de santé en utilisant notre expertise professionnelle, nos systèmes de pointe en gestion de l’information ainsi que notre technologie. ExpressScriptsCanada est une filiale en propriété exclusive d’ExpressScripts Inc., l’un des plus importants gestionnaires de régime d’assurance médicaments en Amérique du Nord qui fait partie du CignaGroup (NYSE: CI), une société mondiale de soins de santé. Ensemble, nous offrons des solutions novatrices et efficientes qui améliorent l’accès, l’abordabilité et les résultats sur le plan de la santé pour les Canadiens.

Title

Bilingual Clinical Services Associate

Location

Mississauga/Montréal

Employment Type

Full-time

Reason for Vacancy

Replacement

Work Arrangement

Hybrid

Department Name

Prior Authorization and Drug Plan Management Department

Pay Type

Salaried

Pay Range

55,000 to $65,000 annually.

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.

Job Summary

The Bilingual Clinical Services Associate supports the delivery of clinical formulary and pharmacy benefit programs by partnering closely with Clinical Pharmacists and cross‑functional teams. This role coordinates prior authorization workflows, responds to clinical and operational inquiries, maintains program and formulary data, and produces reporting and analysis to support decision-making, service excellence, and continuous improvement.

Key Responsibilities

• Support Clinical Pharmacists in the day‑to‑day administration of clinical formularies and pharmacy benefit programs, including implementing approved criteria and maintaining program configuration in internal systems.
• Administer and review prior authorization requests in accordance with established service standards and client requirements.
• Maintain and support updates to the ESC drug database, including product and formulary information.
• Serve as a resource to internal teams, including Drug Plan Management, Drug Database, Marketing, and Customer Service.
• Compile, track, and maintain key performance metrics and operational reports as required.

What We’re Looking For

• Bachelor’s degree in a science‑related field.
• Registered Pharmacy Technician designation is considered an asset.
• Bilingualism in English and French both written and spoken is required.
• Knowledge of the RAMQ drug formulary and applicable clinical criteria.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint; experience with Adobe is an asset.
• Excellent organizational skills, with the ability to manage multiple priorities in a fast‑paced environment.

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 interviews, take notes and score candidates; however, all scores will be reviewed by hiring managers and our Talent team before making a decision.

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 patient‑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.