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Added 5 mins ago
PH
Privacy and Security Analyst, BC Health Workday
Provincial Health Services Authority
BC · British Columbia, Canada
- Full-time
Added 5 mins ago
PH
Financial Analyst, Physician Compensation
Provincial Health Services Authority
Vancouver, BC
- Full-time
The Financial Analyst provides financial analysis, reporting, forecasting, and decision support related to physician compensation, funding, salaries, and recoveries across the Provincial…
Added 35 mins ago
OM
Analyst, Marketing Science
Omnicom Media
Toronto, ON
- Full-time
As an Analyst, you will support functions across a wide array of Data Analysis and Operational needs, including:
Added 35 mins ago
FS
Senior Risk Analyst
Financial Services Regulatory Authority of Ontario (FSRA)
Toronto, ON
- Full-time
Supports the development and maintenance of data collection and reporting in collaboration with IT and Macro Surveillance Analytics (MSA) team.
Added 35 mins ago
C
Supply Chain Data Analyst
Convergint
Calgary, AB
- Full-time
Job Description: Convergint is looking for a team-oriented, results-driven, Supply Chain Data Analyst, to join our amazing culture. As the Supply Chain Data Analyst, you will be responsible…
Added 35 mins ago
AC
Full-time Institutional Research Advanced Data Analyst
Algonquin College of Applied Arts and Technology
Ottawa, ON
- Full-time
Reporting to the Manager, Institutional Analytics and Planning, the IR Advanced Data Analyst develops predictive models, forecasts and advanced analytical tools to support strategic,…
Added 50 mins ago
T
Senior Finance Analyst
TD
Toronto, ON
- Full-time
…Analysis activities, execute monthly financial performance reporting, and play a key role in supporting business leaders through forecasting, planning, performance management, and financial…
Added 50 mins ago
T
Product Control Analyst
TD
Toronto, ON
- Full-time
Working proficiency with reporting and data tools relevant to the desk environment; strong spreadsheet and data-analysis capability is expected.
Added 50 mins ago
C
Applications Support Sr Analyst - Assistant Vice President
Citi
Mississauga, ON
- Full-time
The Apps Support Sr Analyst is a seasoned professional role. Applies in-depth disciplinary knowledge, contributing to the development of new techniques and the improvement of processes and…
Added 1 hour ago
VB
Senior FP&A and Systems Analyst (6 Month Contract)
Vaco by Highspring
Toronto, ON · Greater Toronto Area, Canada
- Full-time
Senior FP&A and Systems Analyst – 6 Month Contract
Added 1 hour ago
GO
Investment Analyst
Government of Manitoba
Winnipeg, MB
- Full-time
The Investment Analyst supports the management and performance of the Province’s investment portfolios by overseeing investment transactions, conducting financial and credit analysis,…
Added 1 hour ago
PO
Analyste d’affaires (FICO) - Business Analyst (FICO)
Port of Montreal
Montreal, QC
- Full-time
Reporting to the Head of Business Applications and Operational Performance, the FICO Business Analyst is responsible for planning, coordinating, and implementing SAP processes to support…
Added 1 hour ago
C
Manager, Business Analyst - CHAPS / High-Value Payments
Cognizant
Toronto, ON
- Full-time
As a Manager, Business Analyst - CHAPS / High-Value Payments, you will make an impact by translating complex UK high-value payment and regulatory requirements into clear business and…
Added 1 hour ago
Amazon Finance Rotational Program (AFRP) - Operations Finance, Early Career - 2027
Amazon
Toronto, ON
…are the trusted business partner by employing every facet of data and communication to ensure our partners and our leaders have the most up to date and reliable information to help them…
Added 1 hour ago
R
Supply Chain Management Support Analyst
Raise
Calgary, AB
- Contract
Reporting to the Team Lead, SCM Support Services, the SCM Support Analyst will provide Supply Chain Management related application and process support to all internal and external clients.…
Added 1 hour ago
UO
Billing Analyst, Medical Clinic
University of Calgary
Calgary, AB
- Full-time
The University of Calgary Medical Clinic in the Cumming School of Medicine is currently seeking a Full-time Regular Billing Analyst.
Added 1 hour ago
T
Senior Business Program Analyst
TD
Toronto, ON
- Full-time
The Senior Business Program Analyst will support the implementation and growth of Wealth's iD8 capability through data analysis, reporting, and communications, and will collaborate closely…
Added 1 hour ago
B
Insolvency Analyst, Court team, Personal Debt Solutions
BDO
Hamilton, ON · Niagara Falls, ON · Peterborough, ON
- Full-time
Our BDO office is looking for an Insolvency Analyst to join the Court team as part of the Personal Debt Solutions group. This is a new role, and the successful candidate will own the…
Added 1 hour ago
AG
Analyst, Marketing Science
Adelphi Group
Toronto, ON
- Full-time
As an Analyst, you will support functions across a wide array of Data Analysis and Operational needs, including:
Added 2 hours ago
Workforce Planning Analyst
FortisBC
Burnaby, BC · Prince George, BC · Trail, BC
Do you have the analytical expertise to develop accurate forecasts and transform data into actionable workforce planning insights?
Added 2 hours ago
A
Lab Technician III
Airswift
Wonowon, BC
- Contract
Ensure accurate reporting, documentation, and data integrity.
Added 2 hours 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 2 hours 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 2 hours ago
C
Regulatory Risk Analyst (Capital Compliance)
Collabera
Toronto, ON · Greater Toronto Area, Canada
- $70 to $73.5 CAD / hour
- Contract
We are seeking an experienced Regulatory Capital Compliance Analyst with a strong background in financial services, credit risk, and regulatory reporting. The successful candidate will…
Added 2 hours ago
IR
Senior Accountant
Integrated Resources, Inc ( IRI )
Laval, QC
- $35 to $40 CAD / hour
- Contract
…initiatives, while ensuring compliance with our accounting, reporting, and period-end closing obligations on both a monthly and annual…

GreenShield

INVESTIGATIVE ANALYST

Windsor, ON, Canada

$59,688 to $91,109 CAD / year · Contract

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Job details

Pay: $59,688 to $91,109 CAD / year
Job type: Contract
Apply by: Dec 4, 2026
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

THE ROLE IN A NUTSHELL

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

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 ARE 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.

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

Lead complex, high-risk investigations and use reporting, AI, and data analysis to identify fraud, abuse, misuse, emerging patterns, and systemic risks. Develop fraud controls and risk-mitigation recommendations, produce executive-level reporting, collaborate with internal and external stakeholders, and mentor investigative staff.

Requirements

Requires at least five years of experience in audit and fraud detection, health care benefit administration, and/or investigations, along with a business-related university degree or college diploma. Candidates should bring strong analytical and communication skills, independent judgment, working knowledge of AI and BI tools, and the ability to mentor others; knowledge of relevant legislation and experience with preventative fraud strategies are assets.

Skills

Fraud Detection
Investigations
Data Analysis
Risk Assessment
AI Technology
Business Intelligence
Data Visualization
Audit
Interviewing
Reporting
Microsoft Excel
Microsoft Access
Mentorship
Stakeholder Communication
Health and Dental Benefits Administration
Privacy and Regulatory Compliance

Visa sponsorship

Not detected in the job text

Keywords

Claim Watch
Fraud Detection
Complex Investigations
High-Risk Investigations
Health Care Benefit Administration
Group Health and Dental
Artificial Intelligence
Reporting
Data Analytics
Utilization Trends
Provider Profiling
Plan Member Profiling
Fraud Controls
Cost Containment
Risk Mitigation
Automation
Intelligent Auditing
Audit
Compliance
Enterprise Risk
Business Intelligence
Data Visualization
Dashboards
Performance Metrics
PIPEDA
Regulated Health Professions Act
Privacy Act
Microsoft Access
Microsoft Excel
Law Enforcement

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