Find work in Canada.

322,860 jobs across our Canadian network. How we count

Jobs in Canada

25+ jobs

Email me new jobs Save this search

Added 8 mins ago
Workday HCM Functional Analyst
NAIT (Northern Alberta Institute of Technology)
AB · Edmonton, AB
Full-time
Reporting to the Workday HCM Manager, the Workday HCM Functional Analyst is responsible for supporting, configuring, enhancing, and optimizing Workday Human Capital Management (HCM)…
Added 8 mins ago
Analyst - Controls Assurance & Accounting and Reporting Advisory, Assurance- Co-op/Intern - 2027
Deloitte
Toronto, ON
Full-time
…as the largest 100% Canadian-owned and operated professional services firm in our country, we are proud to work alongside our clients to make a positive impact for all…
Added 3 hours ago
McMaster (DeGroote School of Business) Recruitment Event - September 28, 2026
TD
Hamilton, ON · Brantford, ON · Toronto, ON · Burlington, ON
Full-time
TD Commercial Banking provides financial solutions to North American businesses. Our broad range of products and services allows us to meet the needs of our clients in every sector,…
Added 4 hours ago
ERP Business Analyst
Husky Technologies
Bolton, ON
Full-time
…to offering our customers the highest quality products and services and are looking for people with the inspiration and talent to develop with us as we pursue our ambitious growth strategy.…
Added 4 hours ago
RESEARCH ANALYST 3
City of Toronto
Toronto, ON
The Research Analyst 3 will join the Transportation Services Policy, Data & Strategic Initiatives Section to support advancing various programs and projects. This role reports to the…
Added 7 hours ago
Sr Anlst, Procurement
Vale
Canada
Full-time
As the Senior Analyst, Category Procurement, you will execute the procurement of materials, equipment and services at the lowest total cost of ownership (TCO) possible while incorporating…
Added 7 hours ago
Business Analyst - Regulatory Affairs and Delivery Modernization
Real Estate Council of Ontario
Toronto, ON
…Ontario and enhances consumer confidence in the real estate services sector. RECO’s commitment to pursuing trust in every transaction means consumers can navigate the real estate market…
Added 8 hours ago
Financial Analyst
JUMP Math
Toronto, ON
Full-time
Position Summary: The Financial Analyst (Compliance & Inventory) plays a vital hybrid role balancing non-profit governance with the commercial mechanics of a charitable social enterprise…
Added 8 hours ago
Senior HR Systems Analyst
Richardson International
Winnipeg, MB
Full-time
…Richardson, we are committed to enhancing our facilities and services and investing in our people and our…
Added 10 hours ago
ERP Business Analyst
Husky Technologies
Bolton, ON
Full-time
…to offering our customers the highest quality products and services and are looking for people with the inspiration and talent to develop with us as we pursue our ambitious growth strategy.…
Added 11 hours ago
Senior Tax Analyst
Salesforce Partner Canada
Toronto, ON
Full-time
Salesforce is looking to add a Senior Tax Analyst to our team! In this role, you will take ownership of our Canadian corporate income tax (CIT) compliance function by managing the…
Added 12 hours ago
Winter Intern 2027 - Corporate Platform - Financial Systems Pod
IG Wealth Management
MB · Manitoba, Canada
Internship
…December 31, 2025. It offers financial planning and investment services to over two million Canadians through IG Wealth Management and Mackenzie…
Added 12 hours ago
US Corporates - Credit Analyst, Director - Industrials & Transportation - Toronto
Fitch Ratings
Toronto, ON
Full-time
With our expertise, we are not only creating data and information, but also producing timely insights from every angle to influence decision making in this ever changing and highly…
Added 13 hours ago
Senior Analyst, Fund Reporting
Aviso
Toronto, ON
$83,000 to $100,000 CAD / year
Full-time
We are looking to fill an opening for a skilled and highly motivated individual to join the Finance & Treasury team as Senior Analyst, Fund Reporting.
Added 13 hours ago
Senior Analyst Financial and Estate Planning
National Bank of Canada
Montreal, QC
Full-time
A career as a senior financial planning analyst on the Financial and Estate Planning team at National Bank means acting as a specialist in financial and estate planning support. In this…
Added 13 hours ago
Senior Analyst Accountant
National Bank of Canada
Montreal, QC
Full-time
A career as a Senior Analyst in the Capital Markets Accounting – Disclosure and Financial Performance team at National Bank means acting as an accounting specialist for the disclosure of…
Added 15 hours ago
Business Analyst - Senior | Must Have: 5+ Yrs BA Exp, OPS Methodologies & Alignment, Process & Data Modeling | Eval: 70% General, 30% Desirable
CCI- Computer Consultants International, Inc.
Toronto, ON
Contract
The Land and Resources Cluster (LRC) and the Ministry of Natural Resources and Forestry (MNRF) require a qualified Senior Business Analyst to undertake the following responsibilities.
Added 16 hours ago
ERP Business Analyst
Husky Technologies
Bolton, ON
Full-time
…to offering our customers the highest quality products and services and are looking for people with the inspiration and talent to develop with us as we pursue our ambitious growth strategy.…
Added 19 hours ago
Product Owner, Data & Integration (12-month contract)
Canada Goose
Toronto, ON
Full-time
4-5 years of experience as a Product Owner / Business Analyst or related role in data-centric projects, ideally within retail industry.
Added 21 hours ago
Data Analyst
Wiraa
Canada
Full-time
The Business Information Management Specialist IV / Data Analyst is a pivotal role within a project-based team supporting sophisticated data initiatives. Located in Toronto, ON, this hybrid…
Added 1 day ago
Enterprise Technology Analyst
Columbia Forest Products
Hearst, ON
Full-time
The Enterprise Technology Analyst is responsible for the delivery of comprehensive IT support and services to ensure the optimal performance of the organization’s end-user computing…
Added 1 day ago
Director, HR Employee Service Centre
Extendicare
Markham, ON · Extendicare (Canada) Inc.
Full-time
…performance, and continuous improvement of Extendicare's HR shared services function. The Director defines and deploys the service delivery model, including tiered workflows, service level…
Added 1 day ago
ERP Business Analyst
Husky Technologies
Bolton, ON
Full-time
…to offering our customers the highest quality products and services and are looking for people with the inspiration and talent to develop with us as we pursue our ambitious growth strategy.…
Added 1 day ago
XVA FRTB IT Lead Business Analyst
Citi
Mississauga, ON
Full-time
The XVA FRTB IT Lead Business Analyst is a senior technical leadership role responsible for bridging the gap between XVA business stakeholders and technology teams, ensuring clear and…
Added 1 day ago
Accounting Analyst, Reconciliations
Circle K
Laval, QC
Full-time
As part of Alimentation Couche-Tard's Operational Accounting team, the Reconciliation Accounting Analyst will provide accounting support services to the stores under his/her responsibility.

Alberta Blue Cross

Pharmacy Analyst - Provider Services & Claims Administration

AB, Canada
Hybrid, Canada

Job type: Full-time
Posting language: English
Posted: Sep 25, 2026

Apply About employer

Applications open in a new tab.

Original job description

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do - and place trust in our employees to deliver our vision.

Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

Alberta Blue Cross® is currently seeking an enthusiastic individual to join our Provider Services & Claims Administration team working in a flexible work style arrangement. With the support of the Team Manager, and under the guidance of a Team Lead, this position is responsible for day-to-day activities related to processing manual pharmacy claims, managing complex pharmacy drug claim inquires, and adjusting direct bill drug claims. This is a detailed position, requiring accuracy and efficiency, to ensure that work objectives and timelines are met, and our reputation for excellent customer service is maintained.

WHAT YOU WILL DO:

Process manual pharmacy claims, including high-cost drug claims, ensuring claims are adjudicated accurately in accordance with drug benefit plan coverage, and in a timely manner.
Perform quality assurance checks on claim adjudication results, and complete claim adjustments when necessary.
Assist and educate pharmacy providers with claims submissions and reversals, including collection of monies from pharmacy providers.
Perform system testing.
Research and analyze information to resolve complex inquiries or unique situations.
Track and complete reporting on work initiatives.
Monitor individual production to ensure acceptable quantity of output and timelines are met.
Make suggestions to improve workflows, increase efficiency, and be innovative.
Be willing to occasionally work flexible hours.

WHAT YOU WILL HAVE:

Demonstrated commitment in delivering superior customer service, including establishing and maintaining effective working relationships with internal and external stakeholders.
Strong problem-solving abilities and attention to detail are critical, demonstrating the ability to use good judgment in evaluating and decision-making, and completing work with a high degree of accuracy.
Excellent organizational and time management skills with the ability to prioritize tasks, manage a heavy workload, and meet tight timelines.
Demonstrated willingness and ability to adapt to changing priorities and processes.
Demonstrated ability to work with minimal supervision, with a strong sense of accountability, in a flexible work style arrangement.
Computer proficiency with Microsoft Word, Excel, and Outlook is essential. Exposure to Access would be beneficial.
Knowledge of the pharmacy industry, including drug plan design and claim adjudication standards, is an asset.

This position will remain open until a suitable candidate is selected.

Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, apply online at careers.ab.bluecross.ca

A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.

Apply About employer

More about this job

Responsibilities

The Pharmacy Analyst is responsible for processing manual pharmacy claims, managing complex drug claim inquiries, and performing quality assurance checks. They also assist pharmacy providers with submissions and reversals while ensuring work objectives and timelines are met.

Requirements

Candidates should have strong problem-solving skills, attention to detail, and proficiency in Microsoft Office applications. Knowledge of the pharmacy industry, including drug plan design and claim adjudication standards, is considered an asset.

Skills

Pharmacy claims processing
Claims adjudication
Quality assurance
Problem-solving
Attention to detail
Time management
Microsoft Word
Microsoft Excel
Microsoft Outlook
Data analysis
Customer service
Reporting
Workflow improvement
Drug plan design

Benefits

Career growth opportunities
Work-life balance

Visa sponsorship

Not detected in the job text

Keywords

Pharmacy Analyst
Claims Administration
Provider Services
Drug Claims
Adjudication
Quality Assurance
Workflow Efficiency
Microsoft Office
Access
Pharmacy Industry
Drug Plan Design
Reporting
Customer Service
Data Analysis
Claims Processing

Report this job