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Added 29 mins ago
JF
Manager, SAP Solutions
Johnvince Foods
Toronto, ON
- $135,000 to $150,000 CAD / year
- Full-time
Get into the system. You should be able to walk any stream design without the analyst in the room
Added 29 mins ago
TC
Senior Financial Analyst/ ERP Support Analyst (1 Year Contract)
The Corporation of the City of Markham
Markham, ON
- $102,464 to $143,867 CAD / year
- Full-time
- Temporary
The City of Markham is seeking a Senior Financial Analyst/ERP Support Analyst within the Financial Planning Division of the Finance Department. Reporting to the Senior Manager, this dual…
Added 43 mins ago
A
Senior Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
Function as technical interface with client, suppliers, inter-discipline engineering teams, construction partners and project management groups.
Added 43 mins ago
A
Senior Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
Function as technical interface with client, suppliers, inter-discipline engineering teams, construction partners and project management groups.
Added 43 mins ago
A
Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
AtkinsRéalis is currently seeking an intermediate Piping Stress Analyst to join the Candu Energy Inc. engineering team in Mississauga, Ontario.
Added 43 mins ago
A
Piping Stress Analyst Engineer
AtkinsRéalis
Mississauga, ON
- Full-time
AtkinsRéalis is currently seeking an intermediate Piping Stress Analyst to join the Candu Energy Inc. engineering team in Mississauga, Ontario.
Added 43 mins ago
K
Associate Director - Cloud Technology Advisor
Kyndryl
Calgary, AB · BC
- Full-time
Collaborate with delivery leaders and project managers to proactively manage risks and escalations.
Added 58 mins ago
CO
Application & Integration Technical Analyst
City of Saint John
Saint John, NB
- Full-time
Under the direction of the designated IT Manager, the Application and Integration Technical Analyst is a technical lead responsible for system architecture, data strategy, and integration…
Added 58 mins ago
S
Behaviour Consultant Mental Health Clinician, Outpatient Psychiatry, Neuromotor - BC Children’s Hospital & Sunny Hill Health Centre
Sanya’k̓ula
Vancouver, BC
- Full-time
Board Certified Behaviour Analyst (BCBA) certification.
Added 58 mins ago
CP
Senior Research Analyst – Analytical Development
Corealis Pharma Inc.
Laval, QC
- Full-time
We are seeking a Senior Research Analyst to lead analytical development and support GMP laboratory operations. This role combines scientific expertise, project leadership, and team…
Added 58 mins ago
CP
Senior Research Analyst
Corealis Pharma Inc.
Laval, QC
- Full-time
We are seeking a Senior Research Analyst to lead analytical development and support GMP laboratory operations. This role combines scientific expertise, project leadership, and team…
Added 2 hours ago
R|
Clinical Trial Financial Control Analyst, Oncology Portfolio
RI-MUHC | Research Institute of the MUHC | #rimuhc
Montreal, QC
- Full-time
We are seeking a Clinical Trial Financial Control Analyst to provide independent financial control and reconciliation for Oncology-sponsored clinical research studies. Reporting within the…
Added 2 hours ago
A
Test Automation Analyst
Accenture
Mississauga, ON
- Full-time
A Technology Analyst/Associate with a passion for quality engineering, automation, and modern software development. You have experience through academic projects, internships, co-op…
Added 3 hours ago
MV
Senior Project Engineer (Liquid Waste, Wastewater Treatment Facility Planning)
Metro Vancouver
BC · British Columbia, Canada
- Full-time
Added 3 hours ago
MV
Senior Project Engineer
Metro Vancouver
BC · British Columbia, Canada
- Full-time
Senior Project Engineer (Liquid Waste, Wastewater Treatment Facility Planning) - Metro Vancouver
Added 3 hours ago
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Intern, Business Analytics, Customer Response Center (CRC) - Winter 2027
Bombardier
Dorval, QC
- Volunteer
The Customer Response Center (CRC) is seeking a motivated and analytical intern to work directly with the CRC Business Analyst in support of data-driven decision making. The successful…
Added 3 hours ago
TC
Operational Excellence Analyst
Toyota Credit Canada Inc.
Markham, ON
- Full-time
TFS is offering a permanent position for an Operational Excellence Analyst within the Business Innovation Department. The Analyst is responsible for supporting continuous improvement…
Added 4 hours ago
TC
Cost Control Analyst
TESC Contracting
Sudbury, ON · Greater Sudbury, ON
- Full-time
…performance, and organizational objectives. Working closely with Project Management and Finance, the Cost Control Analyst provides actionable insights that support informed decision-making…
Added 4 hours ago
IC
Business Specialist
IT Connex
Toronto, ON · Greater Toronto Area, Canada
- Full-time
The IT Business Analyst role is to support the Business Applications team in the planning, design, development, and support of efficient business systems within core organizational…
Added 4 hours ago
KC
Junior Analyst, Investment Management (Coop)
KV Capital
AB · Edmonton, AB
- Internship
Reporting to the Director, Investment Management, the Junior Analyst, Investment Management is responsible for a variety of cross-functional responsibilities including assisting with the…
Added 5 hours ago
GC
Analyst, Fund Operations
Guardian Capital Group
Toronto, ON
- Full-time
Reporting to the Senior Manager Fund Analyst the main responsibility of this position is to support all fund operations for Guardian Capital LP, overseeing administrative responsibilities…
Added 5 hours ago
PC
Senior Business Systems Engineer - 1751 - 175325 - 175490
Piper Companies
ON · Durham, ON
- Full-time
Keywords: Senior Business Systems Engineer, Business Systems Analyst, ERP Engineer, ERP Administrator, NetSuite, Oracle ERP, SAP, Microsoft Dynamics, Workday, Enterprise Applications,…
Added 5 hours ago
A
Radiochemistry Analyst
ALS
Burlington, ON
- Full-time
The Radiochemistry Analyst is a technical leadership role responsible for establishing, developing, validating, and implementing radiochemical analytical methods within a newly developed…
Added 5 hours ago
MG
Technical Analyst
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, support, and…
Added 6 hours ago
C&
Research Analyst - Valuation & Advisory
Cushman & Wakefield
Toronto, ON
- Full-time
We are currently seeking a Research Analyst to join our Toronto office. As part of the Cushman & Wakefield network, you will benefit from access to all our best practices including…

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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