Find work in Canada.

326,472 jobs across our Canadian network. How we count

Jobs in Canada

25+ jobs

Email me new jobs Save this search

Added 10 mins ago
Microsoft / Terraform Cloud Platform Engineer
TECONICA SOFTWARES
Toronto, ON
Contract
Added 24 mins ago
Product Strategy Senior Advisor – 12 months Contract - Express Scripts Canada
Express Scripts Canada
Mississauga, ON
Full-time
…CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for…
Added 24 mins ago
Actuarial Intern (ON) - Fall 2027
Echelon Insurance
Mississauga, ON
Internship
Reporting to an Actuarial Manager, the Actuarial student will work closely with other Actuarial Associates, Senior Management and other stakeholders in our Mississauga and Montreal offices.…
Added 26 mins ago
Digital Marketing & Content Specialist
Alexander College
Vancouver, BC
Full-time
Track, analyse, and interpret campaign and channel performance using tools such as Google Analytics (GA4), Meta Ads Manager, Google Ads, and platform-native analytics.
Added 26 mins ago
Actuarial Intern (ON) - Summer 2027
Echelon Insurance
Mississauga, ON
Internship
Reporting to an Actuarial Manager, the Actuarial student will work closely with other Actuarial Associates, Senior Management and other stakeholders in our Mississauga and Montreal offices.…
Added 26 mins ago
Operations Manager
Deux par Deux
Montreal, QC
Full-time
The Operations Manager makes sure every order reaches the right customer, at the right time and at the right cost - and that the post-purchase experience lives up to the brand. The role…
Added 55 mins ago
Customer Growth & Retention Manager
Kotn
Toronto, ON
$80,000 to $90,000 CAD / year
Full-time
Ecommerce Optimization, Analytics & Reporting (15%)
Added 55 mins ago
Director of Growth
Kotn
Toronto, ON
$130,000 to $150,000 CAD / year
Full-time
Own the department's analytics infrastructure and reporting standards, setting the bar for how the team measures and communicates performance
Added 56 mins ago
Senior Manager, Balance Sheet Management - International Banking
Scotiabank
Toronto, ON
Deliver advanced analytics and scenario analysis to assess the impact of balance sheet growth, repricing gaps and market rate movements on net interest income and the Bank’s risk profile.
Added 56 mins ago
Senior Manager, Balance Sheet Management - International Banking (Bilingual Spanish)
Scotiabank
Toronto, ON
Deliver advanced analytics and scenario analysis to assess the impact of balance sheet growth, repricing gaps and market rate movements on net interest income and the Bank’s risk profile.
Added 56 mins ago
Economics Senior Analyst or Specialist
Pembina Pipeline Corporation
Calgary, AB
Reporting to the Commercial & Marketing FP&A Manager, the Senior Analyst or Specialist leads complex economic and financial analysis to deliver actionable insights and recommendations that…
Added 56 mins ago
Senior Manager, Data Services & Platforms
Purolator
ON · Mississauga, ON
The Senior Manager, Data Services & Platform is a newly established leadership role within the Data, Governance & Analytics (DG&A) Hub at Purolator. This role owns two connected…
Added 1 hour ago
Senior Manager, Talent Acquisition Operations, Intelligence & AI
Deloitte
Toronto, ON
Full-time
Own the Talent Acquisition analytics strategy, data model, reporting standards, and dashboard portfolio across Early Talent, Experienced Hire, Executive Recruiting, and Talent Acquisition…
Added 1 hour ago
Manager, Collections
Rogers Bank
Calgary, AB
Full-time
Use analytics and business insights to optimize collections strategies across the customer lifecycle.
Added 1 hour ago
Network Analyst
Dufferin-Peel Catholic District School Board
Mississauga, ON
Full-time
Under the guidance of the Manager of Network Infrastructure, Cyber Security and Telecommunications, the Network Analyst assists in maintaining the Board's core infrastructure to ensure its…
Added 1 hour ago
Senior Java Back-End Engineer, TD Securities
TD
Toronto, ON
Full-time
…in scope assessment, risk analysis, impact assessment, and cost…
Added 2 hours ago
Gestionnaire de produits / Product Manager
PIP Canada
Laval, QC
Full-time
Added 2 hours ago
Human Resources Planning Manager
Volta Energy Solutions Canada
Granby, QC
Full-time
…and policy development to workforce planning, compliance, HR analytics, and learning and development. The successful candidate will combine strategic thinking with strong execution skills…
Added 2 hours ago
Manager, Regional Revenue
Gordon Food Service - Canada
Milton, ON
Full-time
Responsible for the creation, development and execution of initiatives supporting overall Regional and Division cost and pricing strategies. This role collaborates with Home Office Shared…
Added 2 hours ago
Technical Product Manager II
Spring Financial Inc.
Vancouver, BC
Full-time
As a Product Manager at Spring, you will own this platform end-to-end. You are accountable for the underwriting and originations domain: the decisioning logic, the workflows, the services,…
Added 2 hours ago
Protein Category Manager
Brunel
NS · Nova Scotia, Canada
Full-time
We are hiring a Protein Category Manager for one of our food service clients based in Amherst, Nova Scotia. The Protein Category Manager will execute product merchandising activities within…
Added 2 hours ago
Supervisor of Business Process and Operations
The Corporation of the Municipality of Leamington
Leamington, ON
$87,219.37 to $102,034.89 CAD / year
Reporting to the Manager of Recreation, the Supervisor of Business Process and Operations leads the modernization and continuous improvement of Recreation Services’ business operations. The…
Added 2 hours ago
Manager, Strategy & Value Creation (Bilingual FR/EN)
PwC Canada
Montreal, QC
Full-time
As a Manager, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. Responsibilities include, but are not limited to:
Added 2 hours ago
Growth Marketing Strategist (Paid Media)
Rely Digital
Vancouver, BC
Full-time
Manage and optimize product feeds in Google Merchant Center and Meta Commerce Manager
Added 3 hours ago
Category Marketing Manager
ADI Global
Toronto, ON
$75,075 to $125,125 CAD / year
Full-time
We are currently recruiting for a Category Marketing Manager. This role is responsible for executing traditional and digital marketing promotional flyers, programs, and campaigns. This…

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