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Added 12 mins ago
KD
Casual Direct Support Professional - Hamilton (Freelton)
Karis Disability Services
Hamilton, ON
- Part-time
Direct Support Professional (DSP) employees work with people who experience developmental disabilities as they live in their homes and communities. This position assists people in their…
Added 27 mins ago
SP
Licensed Practical Nurse
Sherwood Park Primary Care Network
Sherwood Park, AB
- $28.66 to $37.74 CAD / hour
- Temporary
Sherwood Park, Alberta | Temporary, Part-time (0.8 FTE)
Added 27 mins ago
A
Specialiste en certification de système carburant avion / Fuel Certification Specialist
Airbus
Mirabel, QC · Montreal, QC
- Full-time
Added 27 mins ago
WC
Parttime Receptionist
Wallace Chevrolet, Cadillac, Buick, GMC
Milton, ON
- Part-time
We are looking for a friendly, professional, and organized Part-Time Receptionist to join our dealership team!
Added 27 mins ago
P
Financial Controller
PTAG
Markham, ON
- Contract
We are seeking a Financial Controller to support our growing team in Markham, Ontario. In this role, you’ll play a key part in optimizing financial performance, strengthening financial…
Added 27 mins ago
PR
Lead Structural Engineer - Solar
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Mississauga, ON
- Full-time
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Added 42 mins ago
Retail Sales Brand Ambassador - Welland
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…meaningful growth opportunities. We are currently hiring for full-time and part-time positions across the Welland…
Added 57 mins ago
AC
Assistant Controller
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Winnipeg, MB
- Full-time
Strong leadership, people management, coaching/mentoring skills, and guidance, support and training for direct reports and broader team.
Added 57 mins ago
E
Analyst, IS Infrastructure PMO
EPCOR
AB · Edmonton, Alberta
- Full-time
We are hiring a full-time, permanent IS Infrastructure PMO Analyst position working out of Edmonton.
Added 57 mins ago
S
FULL TIME Irreg Emergency Medical Call Taker (EMCT) - Vancouver (e)
Sanya’k̓ula
Vancouver, BC
- Full-time
Legally Entitled to work FULL-TIME in Canada (NOTE: All successfully hired candidates will be responsible to maintain their status to legally work in Canada at a full-time capacity, and…
Added 1 hour ago
SH
Casual Infusion Nurse - Duncan, Langford, Courtenay, BC
Sentrex Health Solutions
Duncan, BC
- Part-time
This dynamic position allows for direct patient care in an infusion clinic focused as a center of excellence for specialty medications. The Infusion Nurse provides professional nursing care…
Added 1 hour ago
SF
Acquisition Marketing Manager
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Toronto, ON
- Full-time
…or a related discipline preferred; candidates with relevant professional experience and demonstrated success in acquisition or fundraising leadership will also be…
Added 1 hour ago
KD
Part-Time Direct Support Professional
Karis Disability Services
Regina, SK
- Part-time
Direct Support Professional employees build communities that value the contributions of people who experience developmental disabilities. They assist with activities of daily living,…
Added 1 hour ago
KD
Part-Time Direct Support Professional
Karis Disability Services
Creighton, SK
- Part-time
The Direct Support Professional provides critical services to the people supported by Karis Disability Services and works to ensure that people belong to communities in which their…
Added 1 hour ago
BR
Game Day Lead (Vancouver)
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Burnaby, BC · Richmond, BC · Vancouver, BC
- $22 to $28 CAD / hour
- Full-time
…redefining adult recreational basketball by delivering an elevated, professional-quality experience rooted in culture, competition, and community. Our mission is to make every league night…
Added 1 hour ago
BR
Game Day Lead (Ottawa)
Brodie Rec League
Ottawa, ON
- $22 to $28 CAD / hour
- Full-time
…redefining adult recreational basketball by delivering an elevated, professional-quality experience rooted in culture, competition, and community. Our mission is to make every league night…
Added 1 hour ago
BR
Game Day Lead (Oakville)
Brodie Rec League
Oakville, ON
- $22 to $28 CAD / hour
- Full-time
…redefining adult recreational basketball by delivering an elevated, professional-quality experience rooted in culture, competition, and community. Our mission is to make every league night…
Added 1 hour ago
BR
Game Day Lead (Calgary)
Brodie Rec League
Calgary, AB
- $22 to $28 CAD / hour
- Full-time
…redefining adult recreational basketball by delivering an elevated, professional-quality experience rooted in culture, competition, and community. Our mission is to make every league night…
Added 1 hour ago
E
Frontline Strategy Business Partner (12 month contract)
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Toronto, ON
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Why apply to EcoVadis? Be a part of the global sustainability change in business. Grow your career. Work with extraordinary people. Feel valued for your contribution.
Added 1 hour ago
MD
Medicaid Data Analyst - Management Analyst 4
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- Full-time
Telework Eligible: Yes (up to 50% of the time, if eligible)
Added 1 hour ago
CI
Director of Development
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- Full-time
…as senior leadership role requiring a motivated fundraising professional with a proven ability to operate at an executive level: shaping strategy, leading teams, cultivating major donors,…
Added 1 hour ago
Director, Research Ethics & Infrastructure
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Manages the full employee lifecycle of direct reports, including hiring, professional development, mentoring, assigning workflow, and performance management.
Added 1 hour ago
INVESTIGATIVE ANALYST (CONTRACT)
Green Shield Canada
Calgary, AB · Toronto, ON · Windsor, ON
Total rewards: Health and dental coverage, retirement savings, paid time off and well-being support (up to $10,000 per year for mental health).
Added 1 hour ago
LC
Athletics & Recreation Coordinator
Lambton College
Sarnia, ON
- Internship
This is a Regular Part Time Support Staff position working 24 hours per week at the rate of $28.22 per hour.
Added 1 hour ago
RD
Banquet Supervisor
Red Deer Resort & Casino
Red Deer, AB
- Full-time
Schedule and coordinate the time and tasks for our banquet team

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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