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Added 32 mins ago
M
Technology Program Management, Vice President
MUFG
Toronto, ON
- Full-time
…and provides executive updates on strategy, budgets, risks, controls, and delivery. The role also tracks technology expenditures, manages project budgets and capital investments, negotiates…
Added 1 hour ago
I
Analyst - Information Security
Innergex
Longueuil, QC
- Full-time
…and mitigating cyber threats, continuously improving security controls, and reducing cybersecurity risks within the…
Added 1 hour ago
E
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
CI
Senior Manager, ERP
Calian in Space & Technology
Ottawa, ON
- Full-time
Establish and maintain governance frameworks, standards, controls, and best practices
Added 1 hour ago
INVESTIGATIVE ANALYST (CONTRACT)
Green Shield Canada
Calgary, AB · Toronto, ON · Windsor, ON
Analyze utilization trends and develop provider and plan member profiling criteria to support preventative and detective fraud controls, using reporting and AI tooling.
Added 2 hours ago
G
INVESTIGATIVE ANALYST
GreenShield
Windsor, ON
- $59,688 to $91,109 CAD / year
- Contract
Analyze utilization trends and develop provider and plan member profiling criteria to support preventative and detective fraud controls, using reporting and AI tooling.
Added 2 hours ago
FI
Payroll Manager/ Lead - SAP/ECP
FP Inc.
Toronto, ON · Scarborough, ON
- $40 to $50 CAD / hour
- Contract
…process maps, desktop procedures, roles and responsibilities, key controls, and timelines, so the process is repeatable and ready for…
Added 2 hours ago
BI
Analyste principal, Implantation Epicor / Senior Analyst, Epicor Implementation
Balcan Innovations Inc.
Montreal, QC · Greater Montreal Metropolitan Area
- Full-time
Balcan Innovations is seeking a Senior Analyst, Epicor Implementation to lead the Finance, Inventory, and Costing components of our Epicor implementation across six manufacturing sites.
Added 3 hours ago
T
Program Manager, Carrier Operations & Governance
Twilio
Remote, Canada
- Full-time
- Remote
Join Twilio as a Program Manager, Carrier Operations & Governance - a tech-forward business analyst and program manager within a brand-new function built from the ground up to reshape how…
Added 4 hours ago
TP
Security Analyst
Toronto Parking Authority
Toronto, ON
- Full-time
The Security Analyst will assist the Toronto Parking Authority with the design, development and implementation of its security awareness plan and security initiatives to help ensure that…
Added 4 hours ago
SL
Security Platform Analyst
Sun Life
Toronto, ON · Waterloo, ON · Sun Life Toronto Atria
- Full-time
The Security Platform Analyst is a key member of the security operations that run the operational services that align to the security technology supporting the overall Information Security…
Added 5 hours ago
DC
Business Analyst
Dasro Consulting Inc.
Calgary, AB
- Contract
Dasro is looking for a Business Analyst (Intermediate) for one of its clients in Calgary, AB.
Added 5 hours ago
MP
Senior Security Analyst
Municipal Property Assessment Corporation
Pickering, ON
- Full-time
…objectives and IT strategy into practical security processes, controls and services. You bring cloud security and DevSecOps expertise and thrive on partnering with technical teams to…
Added 5 hours ago
R|
Clinical Trial Financial Control Analyst, Oncology Portfolio
RI-MUHC | Research Institute of the MUHC | #rimuhc
Montreal, QC
- Full-time
We are seeking a Clinical Trial Financial Control Analyst to provide independent financial control and reconciliation for Oncology-sponsored clinical research studies. Reporting within the…
Added 6 hours ago
B
Finance Analyst, Winter 2027 (Co-op/Internship) - 4 Months
BMO
Toronto, ON · FCP
- Full-time
…and regulatory bodies. Works across BMO to deliver specific project/program results in alignment with overall group goals. Supports an efficient and effective Accounting function which uses…
Added 7 hours ago
E
Analyst (Scheduler), Project Controls
EPCOR
AB · Edmonton, Alberta
- Full-time
- Temporary
We are hiring up to two (2) full-time temporary Analyst (Scheduler), Project Controls positions for up to 11 months working out of Edmonton, AB.
Added 7 hours ago
TG
Jr. Security Analyst Student Intern
TMX Group
Toronto, ON
- $22 to $26 CAD / hour
- Full-time
…for an enthusiastic, motivated Junior Information Security Analyst Student Intern to join our Information Security Office for a 4-month winter term. In this role, you will collaborate…
Added 7 hours ago
HR
Manager, Cybersecurity Operations
Halifax Regional Municipality
Halifax, NS
- $105,040 to $135,936 CAD / year
- Full-time
…Analysts, IT Security Administrator and Cybersecurity Risk Analyst in the delivery of HRM’s cybersecurity operations and program roadmap. This position will interact with all levels of…
Added 8 hours ago
C
IT Project Manager
Citi
Mississauga, ON
- Full-time
We are seeking a motivated and detail-oriented PM Analyst to join our global PMO Governance team. This is an excellent opportunity in program and project management, governance, and process…
Added 13 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 17 hours ago
R|
Clinical Trial Financial Control Analyst, Oncology Portfolio
RI-MUHC | Research Institute of the MUHC | #rimuhc
Montreal, QC
- Full-time
We are seeking a Clinical Trial Financial Control Analyst to provide independent financial control and reconciliation for Oncology-sponsored clinical research studies. Reporting within the…
Added 19 hours ago
Senior Analyst, Finance
Henkel group
Mississauga, ON
Collaborate with the Project Management Powerhouse NA Finance team on key projects and initiatives impacting Henkel Consumer Brands (HCB) Finance.
Added 21 hours ago
W
Cost Analyst II
Worley
Calgary, AB · Edmonton, AB
- Full-time
Project Controls experience working on engineering projects.
Added 21 hours ago
S(
General Ledger Accountant
səlilwətaɬ (Tsleil-Waututh Nation)
North Vancouver, BC
- Contract
…entries, reconciliations, financial reporting, and assisting with project accounting, payroll, and administrative functions. The position requires strong analytical skills, advanced Excel…
Added 22 hours ago
HI
CAN – Business Analyst IV
HRbrain Inc.
Toronto, ON
- Full-time
…risk, while adhering to CMRM standards and Process Risk and Controls…

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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