Jobs in Canada

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Added 2 hours ago
IE
Analyst, Business
IMAX Enhanced | Streaming & Consumer Technology
Mississauga, ON
- Full-time
IMAX is seeking a Business Analyst to bridge business functions, technology teams, data teams, project management, and senior leadership in defining and delivering technology-enabled…
Added 2 hours ago
CI
Analyst Intern (Nuclear)
Calian in Space & Technology
Ottawa, ON
- Internship
Our Nuclear Analyst Interns will play a key technical role in the performance of various projects within the Calian Nuclear team. These Analysts Interns will support technical projects in…
Added 3 hours ago
EB
Financial analyst
Edmonds Batteries
Surrey, BC
- From $92,000 CAD / year
- Full-time
- On-site
Plan short- and long-term cash flows and assess financial performance
Added 5 hours ago
CI
Sr. Professional Engineer
Calian in Space & Technology
Ottawa, ON
- Full-time
Calian is looking for a Senior Professional Engineer for their client. Their client is responsible for the procurement and sustainment of a wide array of equipment fleets for the…
Added 7 hours ago
T
Actuarial Analyst III - Capital
TD
Toronto, ON · Montreal, QC
- Full-time
This role is flexible and could potentially be adaptable to a junior or senior analyst role according to the applications received.
Added 8 hours ago
S
Business Development Manager - Moncton
Sysco
Moncton, NB · Sysco Moncton
- Full-time
The Senior Analyst, Business Development drives Sysco's market position and financial growth by acquiring new business through strategic planning, advanced analytics, and effective contract…
Added 9 hours ago
SM
RQ11518 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 9 hours ago
SM
RQ11648 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking a Senior Business Analyst with extensive experience in business analysis, requirements gathering, requirements management, business process modelling, stakeholder engagement,…
Added 9 hours ago
SM
RQ00388 – Solution Architect
S M Software Solutions Inc
Fredericton, NB
- Full-time
A minimum of five (5) years of demonstrated experience as a Senior Programmer/Systems Analyst – 5 years
Added 9 hours ago
SM
RQ11619 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 9 hours ago
SM
RQ11611 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking a highly experienced Senior Business Analyst with extensive expertise in business requirements gathering, business process reengineering, Agile methodologies, user story…
Added 9 hours ago
SM
RQ11612 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 12 hours ago
DP
Financial analyst
Dawson Partners Inc.
Toronto, ON
- $95,180.8 to $100,000 CAD / year
- Full-time
- On-site
Provide investment advice and recommendations to clients, senior company officials, pension fund managers, securities agents and associates
Added 14 hours ago
CG
Senior Analyst, Enterprise & Operational Risk Management
Canada Guaranty
Toronto, ON
- $80,000 to $100,000 CAD / year
- Full-time
The Senior Analyst, Enterprise & Operational Risk Management plays a key role in strengthening Canada Guaranty’s Enterprise Risk Management (ERM) program by enhancing enterprise-wide risk…
Added 14 hours ago
R
VP of Marketing Operations
Revun
Vaughan, ON
- Internship
This is not a narrow communications or campaign-management role. We are looking for a senior executive who can build the marketing systems, team structure, reporting, and execution…
Added 14 hours ago
MC
Data Analyst – Power BI Microsoft Fabric (35903)
Myticas Consulting
Ottawa, ON
- Full-time
We are seeking a Data Analyst to join a highly collaborative technology and data team supporting a complex, operational environment in Ottawa.
Added 17 hours ago
K
Process Design Engineer/Analyst
Kinectrics
Toronto, ON
- Full-time
Diversity: The company is dedicated to promoting diversity in its workforce, up to and including the senior management level. Our diversity committee ensures we stay up to date on leading…
Added 17 hours ago
JE
Senior financial analyst
Johnson Electric
Mississauga, ON
- $41.6 to $50 CAD / hour
- Full-time
- On-site
Provide investment advice and recommendations to clients, senior company officials, pension fund managers, securities agents and associates
Added 21 hours ago
SM
RQ11612 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 21 hours ago
SM
RQ11619 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 21 hours ago
SM
RQ11518 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 21 hours ago
SM
RQ11619 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 21 hours ago
SM
RQ11612 – Business Analyst – Senior
S M Software Solutions Inc
Toronto, ON
- Internship
We are seeking an experienced Senior Business Analyst with strong expertise in business requirements gathering, business process reengineering, Agile methodologies, business modelling,…
Added 21 hours ago
SM
RQ00388 – Solution Architect
S M Software Solutions Inc
Fredericton, NB
- Full-time
A minimum of five (5) years of demonstrated experience as a Senior Programmer/Systems Analyst – 5 years
Added 21 hours ago
SM
RQ00388 – Solution Architect
S M Software Solutions Inc
Fredericton, NB
- Full-time
A minimum of five (5) years of demonstrated experience as a Senior Programmer/Systems Analyst – 5 years

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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