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Added 10 mins ago
RB
2027 Capital Markets, Global Markets, Winter Risk Solutions Group Analyst (8 Months)
Royal Bank of Canada
Toronto, ON
- 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 10 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 10 mins ago
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Senior Treasury Liquidity Measurement Analyst
TD
Toronto, ON
- Full-time
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 10 mins ago
M
Technology Program Management, Vice President
MUFG
Toronto, ON
- Full-time
· Prior business analyst experience and/or operational expertise preferred.
Added 10 mins ago
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Sales Operations Analyst - Payward Services
Kraken
Remote, Canada
- Full-time
- Remote
As the first dedicated Sales Operations Analyst on the team, you’ll support Business Development across PWS and xStocks so our salespeople can spend their time selling. You’ll run RFP and…
Added 10 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 25 mins ago
SI
Business Analyst
Spait Infotech
Canada
- Full-time
Gather, analyze, and document business requirements from clients and stakeholders.
Added 25 mins ago
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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 25 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 25 mins ago
F
Workforce Planning Analyst
FortisBC
Burnaby, BC
- Full-time
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Added 25 mins ago
IS
SCM Support Analyst
InSync Systems
Calgary, AB
- Contract
Assess the requirements of internal and external customers to determine possible solutions to business issues and recommend enhancement/development of business processes.
Added 40 mins ago
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Financial Analyst, Winter 2027 (Co-op/Internship) - 8 months
BMO
Toronto, ON · FCP
- Full-time
Supports various project teams across the project lifecycle to ensure development is aligned with the business requirements.
Added 40 mins ago
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Analyst - Information Security
Innergex
Longueuil, QC
- Full-time
Contribute to the development and improvement of information security policies, standards, and procedures.
Added 55 mins ago
SD
Business Analyst
Symbiotic Digital
Toronto, ON · Queen's Park Ontario Provincial Government, Ontario
- Contract
We are seeking an experienced Business Analyst to provide a
Added 1 hour ago
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Analyste financier / Financial Analyst
Wabtec
Montreal, QC
- Full-time
Added 1 hour ago
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Business Analyst
LGI Healthcare Solutions Santé Inc.
Montreal, QC
- Full-time
The Business Analyst contributes to the analysis of business needs and the functional design of digital solutions tailored to clients and users. Working with Product and Technology teams…
Added 1 hour ago
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Medicaid Data Analyst - Management Analyst 4
Minnesota Direct Care and Treatment
Saint-Paul, NB · St.-Paul, NB
- Full-time
…by providing benefits, support resources, and training and development…
Added 1 hour ago
AI
SAP ISU Business Analyst
Astra-North Infoteck Inc. ~ Conquering today’s challenges, achieving tomorrow’s vision!
Calgary, AB
- Full-time
We are seeking an experienced ISU Business Analyst (L2 Senior) to bridge business requirements and technology solutions. The candidate will work closely with business stakeholders, analyze…
Added 1 hour ago
W
Senior Analyst, Business Analysis and Insights
Walmart
Mississauga, ON
- Full-time
The Senior Analyst, Business Analysis and Insights will manage the interpretation, analytics reporting, and analysis for key insights and performance recommendations. The role may involve…
Added 1 hour ago
INVESTIGATIVE ANALYST (CONTRACT)
Green Shield Canada
Calgary, AB · Toronto, ON · Windsor, ON
…findings, emerging risks, and fraud trends into actionable business insights and strategic recommendations for leadership and…
Added 1 hour ago
C&
Senior Financial Analyst – Sales
Church & Dwight Co., Inc.
Mississauga, ON
- Full-time
Are you a finance professional who thrives on turning data into insights and partnering with the business to drive results? Church & Dwight Canada is looking for a Senior Financial Analyst…
Added 1 hour ago
LH
Business Analyst
LGI Healthcare Solutions
Montreal, QC
- Full-time
The Business Analyst contributes to the analysis of business needs and the functional design of digital solutions tailored to clients and users. Working with Product and Technology teams…
Added 1 hour ago
MQ
Bilingual QA Analyst
Miipe Quality Solutions
Markham, ON
- $60,000 to $63,000 CAD / year
- Full-time
3–5 years of experience as a QA Analyst, Business Analyst, or Business Operations Analyst.
Added 1 hour ago
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Database developer Smartstream TLM SME Senior Engineer
Citi
Mississauga, ON
- Full-time
The Applications Development Senior Programmer Analyst is an intermediate level position responsible for participation in the establishment and implementation of new or revised application…
Added 1 hour ago
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Customer Success Technical Coordinator - Bilingual (FR/EN)
Numeris
Canada
- Full-time
The Coordinator also works closely with the Customer Success Insights Analyst to manage recurring, process-driven reporting and analytical deliverables. The position also provides…

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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