Bilingual Dental Consultant Part-time Express Scripts Canada

Cigna Group; Mississauga; On-site; CAD 75,000 - 95,000; Part time

Job summary

A leading health services company is seeking a part-time Dentist in Mississauga, Canada. The role involves reviewing claims, auditing providers, and requires bilingual proficiency in French and English. Ideal candidates should have over 5 years of dental experience and strong communication skills. This is a 12-month contract with potential for extension and includes some travel across Canada.

Benefits

Competitive salary and benefits package

Positive work environment

Qualifications

• Minimum of 5 years of recent experience within a dental office environment.
• Ability to manage confidential information.
• Demonstrates and applies integrity in all aspects of work.

Responsibilities

• Review provider claims reports to identify abnormal or inconsistent claims submissions.
• Perform on-site audits at the providers location in Canada.
• Consult with internal and external stakeholders regarding audit activities.

Skills

Experience in a dental office environment

Bilingual (French and English)

Strong communication skills

Detail-oriented

Time management and organizational skills

Education

Current registration with a provincial college

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

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 (English)

• 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.

Responsabilités principales (Français)

• Réviser les rapports sur les demandes de règlement afin de déceler les demandes de règlement qui présentent des anomalies ou des incohérences.
• Effectuer des audits sur place dans des cabinets dentaires au Canada.
• Examiner les notes consignées aux dossiers des patients, les radiographies, les factures de laboratoire et résumer ses constatations.
• Examiner les rapports d’audit afin d’en assurer la qualité et l’exactitude et de confirmer que le processus d’audit a bien été suivi.
• Donner une opinion professionnelle afin d’apporter du soutien aux spécialistes des audits.
• Participer à des révisions par les pairs au besoin avec les clients à l’externe.
• Discuter des activités d’audit avec les intervenants à l’interne et à l’externe.
• Réviser les critères de risque relatifs à la vérification des demandes de règlement et faire des recommandations.

Qualifications (English)

• 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).
• French & English bilingualism required.

Qualifications (Français)

• Posséder cinq années d’expérience récente dans un cabinet dentaire.
• Être membre d’une association dentaire provinciale.
• Être en mesure de gérer des renseignements confidentiels.
• Mettre l’accent sur la qualité et l’exactitude.
• Être minutieux et posséder d’excellentes habiletés de communication à l’oral comme à l’écrit.
• Faire preuve d’intégrité dans tous les aspects de son travail.
• Posséder d’excellentes aptitudes en gestion du temps et avoir un bon sens de l’organisation.
• Connaître les logiciels de la suite Microsoft Office (Word, Excel et PowerPoint).
• Être bilingue (français et anglais) à l’oral comme à l’écrit.

Express Scripts Canada is a Cigna company. Express Scripts Canada is a subsidiary of Express Scripts a Cigna company.

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 of 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 : Do not email for an update on your application or to provide your resume as you will not receive a response.