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Added 14 mins ago
Service Desk Analyst
Northbridge Financial Corporation
Vancouver, BC
Full-time
The Service Desk Analyst is responsible for assisting in providing day to day front-line user support and diagnostics for routine desktop hardware/software concerns and application…
Added 14 mins ago
Senior HR Workday Technology Analyst
Marsh McLennan
Toronto, ON
Full-time
We are seeking a highly motivated Technology Analyst to support our Workday HR application team. This role will focus on application configuration, security, organizational structures, data…
Added 28 mins ago
Claims Fraud Analyst (Insurance Claims)
Global Excel Management
Windsor, ON · Sherbrooke, QC
Other
Manual Discovery Processes -System Limitations
Added 43 mins ago
Service Desk Analyst
Northbridge Financial Corporation
Vancouver, BC
Full-time
The Service Desk Analyst is responsible for assisting in providing day to day front-line user support and diagnostics for routine desktop hardware/software concerns and application…
Added 43 mins ago
Senior Financial Analyst
Sofina Foods Inc
Markham, ON
…compliance certificate, updating the bank model, and other ad hoc support documents (Interest rate…
Added 1 hour ago
Financial Analyst (Consolidation)
Husky Technologies
Bolton, ON
Full-time
…External Reporting and Consolidations. The Experienced Financial Analyst will play a critical role in all aspects of the consolidation and external report process. This role is pivotal to…
Added 1 hour ago
ERP Business Analyst
Husky Technologies
Bolton, ON
Full-time
Develop test plans, coordinate testing activities, execute system validation, and support business users during User Acceptance Testing (UAT).
Added 1 hour ago
Senior IT Support Analyst
TD
Toronto, ON
Full-time
We are seeking a Senior IT Support Analyst to provide high-touch, time-sensitive technical support to TD Securities Global Markets, Trading, Sales, Research, and front-office clients in…
Added 1 hour ago
Lead Business Systems Analyst
McKesson
Montreal, QC
Full-time
Added 1 hour ago
Senior Financial Analyst, Real Estate Finance
Nicola Wealth
Vancouver, BC
Full-time
This is an exciting opportunity to join our high performing Real Estate Finance Team. As the Senior Financial Analyst, you will be responsible for financial analyses within various Real…
Added 1 hour ago
Data and Product Analyst (Contract)
PwC
Toronto, ON
Full-time
…Marketing, Human Capital, and other parts of the business to support our developers and project team members to ensure that our dashboards meet the strategic needs of our leadership and…
Added 3 hours ago
Systems Analyst I
Paladin Technologies
Toronto, ON
Full-time
The Systems Analyst I is responsible for troubleshooting technical issues, supporting system upgrades and integrations, maintaining documentation, and contributing to automation and…
Added 3 hours ago
Business Analyst Co-op
Teck Resources Limited
Vancouver, BC · Greater Vancouver, BC
$4,108 to $5,183 CAD / month
Full-time
The Business Analyst Co-Op will work closely with the Senior Business Advisor to drive performance reporting, metric tracking, and process improvements aligned with our Management Operating…
Added 4 hours ago
Human Resources Analyst
Michael Garron Hospital
Toronto, ON
Full-time
Human Resources (HR) Analyst will support the implementation of a new HR and Payroll system. The
Added 4 hours ago
Technical Analyst, Database
Michael Garron Hospital
Toronto, ON
Full-time
Reporting to the IT Manager – Technical and Client Services, the Technical Analyst is responsible for the effective provisioning, installation, configuration, operation, security, access…
Added 4 hours ago
Payroll Partner - Analyst
The University of British Columbia
Vancouver, BC
$6,143.67 to $8,830.25 CAD / month
Full-time
The Payroll Partner - Analyst provides strong customer service and payroll expertise to the campus community on behalf of Financial Operations. This role contributes to the reliability and…
Added 4 hours ago
Payroll Partner - Analyst
The University of British Columbia
Vancouver, BC
$6,143.67 to $8,830.25 CAD / month
Full-time
The Payroll Partner - Analyst provides strong customer service and payroll expertise to the campus community on behalf of Financial Operations. This role contributes to the reliability and…
Added 4 hours ago
Research Project Coordinator Analyst - Cancer Care - Department of Research
Nova Scotia Health Authority
Halifax, NS
Full-time
Reporting to the Principal Investigator, the Project Coordinator will support the coordination and delivery of projects conducted within an embedded research program situated within the…
Added 4 hours ago
Senior Business Analyst
Fraser Health
Surrey, BC
Full-time
The Health Informatics – Clinical Ancillary Services portfolio has a permanent Full-time Senior Business Analyst position available to support our Surgery, Anesthesia, and Medical Device…
Added 4 hours ago
Senior Business Analyst
Fraser Health
Surrey, BC
Full-time
BC’s health system is in the process of transformation. As part of the planned changes, certain IM/IT, Finance, and Supply Chain roles are expected to be in scope for transition to a new…
Added 5 hours ago
CRM Support Analyst
Royal Bank of Canada
Toronto, ON
Full-time
The Production & Risk Services group is looking for a CRM Support Analyst to help support and drive the operations of a group of complex Client Technology applications. This is an exciting…
Added 5 hours ago
Marketing Data Analyst
Martell Media
Kelowna, BC
Full-time
We are looking for a Marketing Data Analyst who turns messy growth data into clear decisions for leadership, media, and revenue.
Added 5 hours ago
Senior Business Analyst
Raise
Calgary, AB
Contract
Raise is currently hiring a Senior Business Analyst on behalf of our client. They’re expanding their team to meet growing needs, making this a unique opportunity to work with an industry…
Added 5 hours ago
Business Analyst, HIFIS
Affinity
Burnaby, BC
Contract
On behalf of our public-sector client, Affinity is seeking a Business Analyst, HIFIS to support the planning, implementation, enhancement, integration, and ongoing operational delivery of a…
Added 5 hours ago
Junior to Intermediate IT Business Analyst
Powerex
Vancouver, BC
Full-time
We’re looking for a business analyst with one to four years of experience at the junior to intermediate level in business analysis or IT project delivery. You should be able to support IT…

Alberta Blue Cross

Pharmacy Analyst - Provider Services & Claims Administration

AB, Canada
Hybrid, Canada

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

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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.

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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

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