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Added 5 mins ago
HM
Family Practitioner/General Practitioner
Health Match BC
Burnaby, BC
- Full-time
We also work with new physicans coming to BC and help them learn the health care system. We have a great team of mentors who are always willing to answer questions.
Added 5 mins ago
A
Partners in Performance - Performance Strategy Senior Associate - Current MBA Students - Canada - NAELFY27
Accenture
Toronto, ON · Ottawa, ON · Montreal, QC · Vancouver, BC · Calgary, AB
- Full-time
…work alongside clients from the shop floor to the C-suite to help make them happen. Whether it’s process improvement, supply chain optimization or back office transformation, you’ll help…
Added 49 mins ago
CO
Motor Equipment Repairman – Department of Public Works
City of Methuen
Montreal, QC · Urban agglomeration of Montreal, QC
- Full-time
…perspectives and welcome candidates from underrepresented groups to help make its vision a reality, by providing access to resources to all candidates and providing reasonable…
Added 49 mins ago
TO
Respiratory Therapist 1
The Ottawa Hospital
Ottawa, ON
- Temporary
Current and active general certificate of registration or eligibility for general certification with the College of Respiratory Therapists of Ontario (C.R.T.O.) without limitation;
Added 49 mins ago
TO
Respiratory Therapist 1
The Ottawa Hospital
Ottawa, ON
- Temporary
Current and active general certificate of registration or eligibility for general certification with the College of Respiratory Therapists of Ontario (C.R.T.O.) without limitation;
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Langley (District), BC · City of Langley, BC
- Part-time
…environment. Our extraordinary team also includes 4 personnel to help physicians with any daily tasks. Located in Willowbrook, our clinic is right at the heart of Langley and is next-door…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Abbotsford, BC
- Full-time
Balanced Practice: We help you prioritize creating a balanced patient panel and a well-rounded practice that meets your professional goals.
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Coquitlam, BC
- Full-time
This Medical Clinic is seeking a locum physician to help with coverage on a flexible basis. We are open to any days that work best for your schedule, and you are welcome to pick up shifts…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Ladner, BC
- Full-time
This modern, bright clinic has a team of dedicated and well-trained staff to help the physicians with a focus to provide an approach that is patient-centered to all of our patients which is…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Abbotsford, BC
- Full-time
Balanced Practice: We help you prioritize creating a balanced patient panel and a well-rounded practice that meets your professional goals.
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Port Moody, BC
- Part-time
…is a unique opportunity to join a clinic from inception and help shape its culture and…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Port Moody, BC
- Part-time
…is a unique opportunity to join a clinic from inception and help shape its culture and…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Coquitlam, BC
- Part-time
This is a rare opportunity to help shape and grow a clinic from the ground up in one of Metro Vancouver’s fastest-growing communities.
Added 1 hour ago
C
AKS/ ARO DevOps Engineer
Capgemini
Mississauga, ON
- $75 to $95 CAD / hour
…where you’ll be able to reimagine what’s possible. Join us and help the world’s leading organizations unlock the value of technology and build a more sustainable, more inclusive…
Added 1 hour ago
TS
Justice Direct Support Worker
The Salvation Army in Canada
Saskatoon, SK
- Part-time
…on our roots as a world-wide Christian church, each year we help more than 2 million people, providing necessities such as food, clothing and shelter. In addition, we support people…
Added 2 hours ago
A
Senior Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
…of the assigned work, while knowing when to seek specialized help from subject matter…
Added 2 hours ago
A
Piping Supports Design Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
Review of technical documents and drawings (e.g. equipment General Arrangement drawings, equipment layout drawings, isometrics, pipe supports, flow diagrams and P&ID), calculations,…
Added 2 hours ago
A
Senior Piping Supports Design Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
…of the assigned work, while knowing when to seek specialized help from subject matter…
Added 2 hours ago
A
Senior Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
…of the assigned work, while knowing when to seek specialized help from subject matter…
Added 2 hours ago
A
Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
Explore the rewards and benefits that help you thrive – at every stage of your life and your career at AtkinsRéalis in Canada.
Added 2 hours ago
A
Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
Explore the rewards and benefits that help you thrive – at every stage of your life and your career at AtkinsRéalis in Canada.
Added 2 hours ago
A
Senior Piping Supports Design Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
…of the assigned work, while knowing when to seek specialized help from subject matter…
Added 2 hours ago
A
Piping Supports Design Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
Review of technical documents and drawings (e.g. equipment General Arrangement drawings, equipment layout drawings, isometrics, pipe supports, flow diagrams and P&ID), calculations,…
Added 2 hours ago
FM
financial officer
Fresh Market Foods
Sioux Lookout, ON
- Full-time
Maintain general ledgers and financial statements
Added 2 hours ago
MY
YOUTH DEVELOPMENT COORDINATOR
McMan Youth, Family and Community Services Association of Calgary & Area
Calgary, AB
- Full-time
…the Youth Development Coordinator will teach life skills, and help youth establish normal routines while promoting their overall well-being. McMan is seeking a candidate who builds strong…

Express Scripts Canada

Fraud, Waste and Abuse Operations Lead Analyst - 12 Months Contract - Express Scripts Canada

Mississauga, ON, Canada

Hybrid

Pay Range: $60,000-$68,000. · Full-time

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Job details

Pay: Pay Range: $60,000-$68,000.
Job type: Full-time
Workplace: Hybrid
Apply by: Nov 5, 2026
Experience: 3+ years of related experience in Pharmacy and/or Dental Benefits Management, Group Insurance or Health Care Operations
Posting language: English
Posted: Oct 6, 2026

Original job description

Job Title: Fraud, Waste and Abuse Operations Lead Analyst

Location: 300 – 6985 Financial Drive Mississauga Ontario

Employment Type: Contract 1 Year

Reason for Vacancy: Replacement

Work Arrangement: Hybrid

Department Name: Fraud, Waste and Abuse

Pay Type: Salaried

Pay Range: $60,000-$68,000. 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.

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.

Job Summary

The Operations Lead Analyst is responsible for administering operational efficiency processes that manage cost and optimize results, including financial data analysis and reporting as part of the Fraud, Waste and Abuse Program (FWA). The Operations Lead Analyst presents opportunities and findings both verbally and in writing to key internal and external stakeholders, including coordinating and providing updates to private and public sector customers and internal team(s) as necessary. The successful candidate will be involved in multiple projects and collaborate with department supervisors, managers and colleagues both in FWA and other cross functional departments. This is an exciting opportunity for an adaptable candidate to gain experience and exposure to the administrative, financial and reporting operations of the FWA department.

Key Responsibilities

Produce financial reports for clients and provide insights into trends
Responsible for provider electronic withhold entries for audit recoveries for all benefits and monitor electronic withhold to satisfy timely audit recoveries
Collect and analyze quality assurance data for public sector client meetings and internal metrics
Ensure alignment and consistency of delivery of program between all benefits
Identify emerging trends and create presentations for clients to support audit result meetings
Work with both internal and external stakeholders to address client inquiries, gather, collect information, for deliverables
Conduct monthly quality assurance review of staff time trackers
Create and maintain forecasting tools for oversight on key performance indicators and emerging trends
Oversee program training documents, SOPs, and working instructions. Ensure processes are mapped out, outlined and organized for team to utilize
Lead quality-focused remedial training sessions for team. Assist managers with maintaining training records
Identify, lead and manage special projects and program initiatives
Continuously seek opportunities to create efficiencies within processes and drive value for the program
Resolve non-routine issues escalated from other team members
Tasks involve a degree of forward planning and anticipation of needs/issues
Other duties as assigned

Qualifications

Post secondary degree or equivalent work experience
3+ years of related experience in Pharmacy and/or Dental Benefits Management, Group Insurance or Health Care Operations
Demonstrated experience in quality assurance activities, data analysis, and reporting
Highly proficient in Microsoft Access & Excel, and data warehousing applications
Experience with compiling, manipulating or validating large pieces of data
Ability to maintain electronic filing systems
Display high levels of curiosity, integrity, tact and objective judgement
Excellent organizational, planning and critical thinking skills
Excellent verbal and written communication skills, including ability to present to clients and internal stakeholders
Proven interpersonal skills and ability to work well with senior management and high-level external contacts handling sensitive or confidential information is critical
Ability to work with minimum management oversight on multiple projects with competing priorities
Ability to work a flexible schedule in high pressure environments with urgent deadlines
Proven time and resource management skills; detail oriented with strong organizational abilities

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 patients-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.

If you require accommodation in completing the online application process, please email: eschr2@express-scripts.com Do not email eschr2@express-scripts.com for an update on your application or to provide your resume as you will not receive a response.

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More about this job

Responsibilities

Produce client financial reports and analyze quality assurance data, trends, and performance indicators for the Fraud, Waste and Abuse program. Coordinate stakeholder inquiries and projects, maintain program documentation and training, oversee audit recovery withholds, and improve operational processes.

Requirements

Requires a post-secondary degree or equivalent work experience and at least three years of related experience in pharmacy or dental benefits management, group insurance, or healthcare operations. Candidates should have experience in quality assurance, data analysis and reporting, strong Microsoft Access and Excel skills, and excellent organizational, communication, and stakeholder-management abilities.

Skills

Financial Data Analysis
Financial Reporting
Quality Assurance
Microsoft Access
Microsoft Excel
Data Warehousing
Large-Scale Data Validation
Trend Analysis
Forecasting
KPI Monitoring
Project Management
Process Improvement
Training and Documentation
Stakeholder Communication
Client Presentations
Time and Resource Management

Benefits

Competitive Compensation
Benefits
Pension Plan
Career Development Opportunities
Advancement Opportunities
Flexible Work Options
Wellness Programs

Visa sponsorship

Not detected in the job text

Keywords

Fraud, Waste and Abuse
Pharmacy Benefits Management
Dental Benefits Management
Group Insurance
Healthcare Operations
Financial Data Analysis
Financial Reporting
Quality Assurance
Microsoft Access
Microsoft Excel
Data Warehousing
Data Validation
Audit Recoveries
Electronic Withholds
Trend Analysis
Forecasting
Key Performance Indicators
Client Reporting
Stakeholder Management
Standard Operating Procedures
Training Documentation
Remedial Training
Project Management
Process Improvement
Confidential Information
Enhanced Reliability Clearance

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