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Added 10 mins ago
Workforce Planning Analyst
FortisBC
Burnaby, BC · Prince George, BC · Trail, BC
Are you a master scheduler with an ability to put on the right staff at the right time to ensure our business runs smoothly?
Added 10 mins ago
C
Senior Financial Analyst
Confidential
Toronto, ON · Etobicoke, ON
- Full-time
We are looking for an experienced Sr. Financial Analyst to support financial planning, reporting, and business decision-making for a Toronto, Ontario-based team. This role focuses on…
Added 10 mins ago
R
Demand Planning Analyst (Hybrid - Boucherville)
RONA
Boucherville, QC
- Full-time
Ensure excellent collaboration with business partners responsible for merchandising
Added 10 mins ago
IG
Data Analyst - Sales Support
Insight Global
Brantford, ON
- $26 to $28 CAD / hour
- Contract
Insight Global is seeking a Data Analyst to support a sales team in Brantford. This role will focus heavily on Microsoft Excel, including organizing and maintaining sales data, analyzing…
Added 10 mins ago
I
Business Analyst
isgSearch
Toronto, ON · Greater Toronto Area, Canada
- Contract
Seeking a Senior Business Analyst with 10+ years of experience gathering and documenting business requirements, developing business cases, and leading business process improvement…
Added 10 mins ago
EJ
Associate Analyst - Financial Planning
Edward Jones
Mississauga, ON
- $77,000 to $127,000 CAD / year
- Full-time
The Canada Financial Planning team is seeking an Associate Analyst to support the development, maintenance, and delivery of financial planning advice and guidance for our Canadian business.…
Added 10 mins ago
IR
Senior Accountant
Integrated Resources, Inc ( IRI )
Laval, QC
- $35 to $40 CAD / hour
- Contract
As part of our finance team, you will be a vital business partner, serving as a key tax expert for the organization. This challenging role entails key responsibilities, including the…
Added 26 mins ago
RB
2027 Capital Markets, Global Markets, Winter Risk Solutions Group Analyst (8 Months)
Royal Bank of Canada
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- Full-time
The Risk Solutions Group is a private-side client facing business that provides corporate and mid-market clients with interest rate hedging advisory and origination capabilities. This…
Added 26 mins ago
O
Senior Analyst, Lease Accounting
OMERS
Toronto, ON · Head Office Toronto
- Full-time
The Senior Analyst, Lease Accounting involves reviewing and interpreting lease documents to ensure accurate setup for billing tenants and verifying the accuracy of tenant recoveries during…
Added 26 mins ago
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Senior Treasury Liquidity Measurement Analyst
TD
Toronto, ON
- Full-time
Lead the production, analysis and enhancement of liquidity risk metrics, including LCR, NSFR, NCCF and internal liquidity stress testing outputs. You will provide business attribution,…
Added 26 mins ago
D
Analyst, Product administration
Desjardins
Levis, QC
- Full-time
As a product administration analyst, you provide administrative support to Desjardins components and help administer specialized products and member/client accounts. You analyze and help…
Added 41 mins ago
B
Senior Analyst
BMO
Toronto, ON · FCP
- Full-time
Consolidates, analyzes, and reports on the financial performance of the business / group to support the month-, quarter-, and year-end closing process, including financial reporting and…
Added 41 mins ago
B
Portfolio Analyst
BMO
Ottawa, ON · Toronto, ON · FCP
- Full-time
Performs financial analysis and calculations, assesses client creditworthiness, prepares detailed credit summaries, analyses financial performance and risk profiles of clients within the…
Added 41 mins ago
SI
Business Analyst
Spait Infotech
Canada
- Full-time
Perform gap analysis to identify differences between current and desired business processes.
Added 41 mins ago
F
Workforce Planning Analyst
FortisBC
Trail, BC
- Full-time
Are you a master scheduler with an ability to put on the right staff at the right time to ensure our business runs smoothly?
Added 41 mins ago
F
Workforce Planning Analyst
FortisBC
Prince George, BC
- Full-time
Are you a master scheduler with an ability to put on the right staff at the right time to ensure our business runs smoothly?
Added 41 mins ago
F
Workforce Planning Analyst
FortisBC
Burnaby, BC
- Full-time
Are you a master scheduler with an ability to put on the right staff at the right time to ensure our business runs smoothly?
Added 41 mins ago
SI
Business Analyst/Project Maanger with Capital Markets experience
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Mississauga, ON
- Contract
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Added 41 mins ago
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Lead Revenue Operations Analyst
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Richmond Hill, ON
- Full-time
OpenText is seeking a Lead Revenue Operations Analyst to join our growing Support Revenue Operations team, acting as a key financial partner focused on adding value to the business. This…
Added 56 mins ago
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Financial Analyst, Winter 2027 (Co-op/Internship) - 8 months
BMO
Toronto, ON · FCP
- Full-time
Business requirements definition and analysis.
Added 56 mins ago
I
Analyst - Information Security
Innergex
Longueuil, QC
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Participate in the investigation and management of security incidents, including root cause analysis, documentation, and the implementation of corrective measures.
Added 1 hour ago
LM
Senior Compensation Analyst, Total Rewards
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Remote, Canada
- Temporary
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Senior Compensation Analyst, Total Rewards (12-month Contract)
Added 1 hour ago
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Analyst, IS Infrastructure PMO
EPCOR
AB · Edmonton, Alberta
- Full-time
As an IS Infrastructure PMO Analyst, you play a key role within the IS Infrastructure Project Management Office, collaborating with the IS Infrastructure department, business units,…
Added 1 hour ago
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Business Analyst
Symbiotic Digital
Toronto, ON · Queen's Park Ontario Provincial Government, Ontario
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We are seeking an experienced Business Analyst to provide a
Added 1 hour ago
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Analyste financier / Financial Analyst
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Montreal, QC
- Full-time

Green Shield Canada

INVESTIGATIVE ANALYST (CONTRACT)

Calgary, AB, Canada
Toronto, ON, Canada
Windsor, ON, Canada

Base Salary: CAD $59,688.00 - 91,109.00

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Job details

Pay: Base Salary: CAD $59,688.00 - 91,109.00
Experience: Minimum of 5 years’ experience in audit and fraud detection, health care benefit administration and/or in conducting investigations.
Posting language: English
Posted: Nov 4, 2026

Original job description

WHO WE ARE

GreenShield is a proudly Canadian, national non-profit health care and insurance organization, driven by our mission of Better Health for All. We believe health care is a right, not a privilege, and we are committed to improving health outcomes, advancing health equity, and building a future where every Canadian can reach their full health and well-being potential.

Through our unique integrated payer-provider ("payvider") model, we offer insurance, administer benefits, and pay claims as a ‘payer’ while offering health care services such as mental health, pharmacy, telemedicine, and chronic disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess earnings to directly support underserved communities. Through GreenShield Cares, we positively impacted the health and well-being of over one million Canadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additional three million Canadians by 2030 – across mental health, essential medicines, and chronic disease management – through scalable initiatives that deliver meaningful change in pursuit of our mission of Better Health for All.

At GreenShield, our culture is where purpose meets passion and performance. Our teams work as one to deliver meaningful, measurable impact for the people and communities we serve.

THE ROLE IN A NUTSHELL

Investigation and Analysis

Support the delivery and evolution of the Claim Watch program, including identification and leading of complex and high‑risk investigations.
Leverage reporting and AI technology to identify, research, and analyze abuse, misuse, and fraudulent claims activity with a focus on emerging patterns and systemic risk.
Conduct complex interviews with providers and plan members and exercise independent judgment in ambiguous or precedent‑setting situations.
Analyze utilization trends and develop provider and plan member profiling criteria to support preventative and detective fraud controls, using reporting and AI tooling.
Identify and recommend cost‑containment and risk‑mitigation opportunities, including automation and control enhancements.
Develop and implement preventative fraud measures and support audit, compliance, and enterprise risk activities.
Collaborate across departments and with external stakeholders, including providers, associations, and law enforcement.
Produce executive-level reporting and analytics that translate complex investigative findings, emerging risks, and fraud trends into actionable business insights and strategic recommendations for leadership and clients.
Provide mentorship and guidance to investigative staff and contribute to continuous improvement of investigative practices.
Contribute to and analyze the development of investigative reporting requirements, dashboards, and performance metrics, identifying opportunities to improve visibility into fraud, abuse, misuse, operational effectiveness, and emerging risks.
Provide training and mentoring to peers and team members.
Support the client/partner specific Claim Watch governance framework.

WHO WE'RE LOOKING FOR

Minimum of 5 years’ experience in audit and fraud detection, health care benefit administration and/or in conducting investigations.
Demonstrated ability to exercise independent judgment and make defensible decisions in complex investigative scenarios.
Working knowledge with AI technology.
Exceptional analytical and critical-thinking skills with demonstrated ability to synthesize large and complex data sets, identify emerging patterns, assess risk, and translate findings into strategic recommendations.
Experience contributing to preventative fraud strategies, automation, or intelligent audit approaches (asset).
Demonstrated leadership, mentorship, and ability to influence outcomes across teams without direct authority.
Demonstrated commitment to continuous learning and professional development, with a strong curiosity for emerging technologies, fraud schemes, industry trends, data analytics, and investigative methodologies.
University degree or college diploma in business or related discipline required.
Strong interpersonal skills and the ability to communicate to all levels of internal and external customers both orally and written.
Understanding of group Health & Dental administration.
Excellent customer service with a drive to deliver exceptional service.
Demonstrated capability to meet objectives and milestones when working independently and on project teams.
Highly organized and able to balance multiple tasks in a fast-paced environment.
Working knowledge of relevant federal and provincial legislation, regulations and the judiciary system (Including but not limited to: PIPEDA, Regulated Health Professions Act, Privacy Act) would be an asset.
Proficiency with Microsoft Office tools, including Access, Excel, Word, and other business applications and reporting tools.
Experience using Business Intelligence (BI) and Data Visualization platforms.
Ability to travel within Canada.

WHAT WE OFFER

Base Salary: CAD $59,688.00 - 91,109.00

Offer positioning: Determined using relevant experience, skills, internal equity and current market data.
Total rewards: Health and dental coverage, retirement savings, paid time off and well-being support (up to $10,000 per year for mental health).
Posting disclosures: This is for an existing vacancy.
Work model: Hybrid

THE CULTURE
We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place where you can be inspired, challenged, and rewarded.

Where your growth means our growth.
Where your voice is heard and valued.
Where your work has purpose. And purpose matters.

We believe our people are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together.

Here’s to Better Health for All!

A FEW MORE DETAILS
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.

GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through requestforaccommodation@greenshield.ca. Information received relating to accommodation will be addressed confidentially.

Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).

AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.

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More about this job

Responsibilities

The analyst will lead complex investigations into fraudulent claims using AI and reporting tools to identify systemic risks. They will also collaborate with stakeholders to develop preventative fraud measures and provide executive-level reporting on investigative findings.

Requirements

Candidates must have at least 5 years of experience in audit, fraud detection, or health care benefit administration. A university degree or college diploma in business or a related discipline is required, along with proficiency in data analysis and investigative methodologies.

Skills

Fraud detection
Audit
Data analysis
Investigative techniques
AI technology
Critical thinking
Reporting
Risk mitigation
Communication
Mentorship
Business intelligence
Data visualization
Health insurance administration
Project management
Compliance

Benefits

Health coverage
Dental coverage
Retirement savings
Paid time off
Well-being support

Visa sponsorship

Not detected in the job text

Keywords

Fraud detection
Audit
Health care
Insurance
AI
Data analytics
Claim Watch
Risk mitigation
Compliance
Business intelligence
Data visualization
Microsoft Office
Excel
Access
PIPEDA
Privacy Act
Regulated Health Professions Act
Investigation
Reporting
Strategic recommendations
Cost-containment
Mentorship
Non-profit
Health equity
Payvider model

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