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Added 1 min 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 min ago
A
Sr. SAP FI-CO Configuration Analyst : Toronto ON (Hybrid) : FTE
AceStack
Toronto, ON
- Full-time
Job Role : Sr. SAP FI-CO Configuration Analyst
Added 1 min ago
PR
Senior Supply Chain Analyst
Paramount Resources
Calgary, AB
- Full-time
Reporting to the Manager, Supply Chain, you’ll partner with Facilities Engineering, Construction, Operations, Maintenance, Finance, project teams, and external contractors to develop and…
Added 1 min 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 min 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 min ago
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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 16 mins 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 31 mins ago
Workforce Planning Analyst
FortisBC
Burnaby, BC · Prince George, BC · Trail, BC
As our Workforce Planning Analyst, you are responsible for the short and long term scheduling and forecasting needs for our Gas and Electric contact centre(s) and Billing Operations. You…
Added 31 mins ago
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Lab Technician III
Airswift
Wonowon, BC
- Contract
We are currently seeking an experienced Laboratory Technologist / Chemical Analyst to join a leading oil and gas client in Fort St. John, British Columbia. This position plays a critical…
Added 31 mins ago
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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 31 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 31 mins 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 31 mins 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…
Added 47 mins ago
T
Senior Treasury Liquidity Measurement Analyst
TD
Toronto, ON
- Full-time
Develop and enhance liquidity measurement processes and analytics used to calculate, interpret and explain reporting outcomes under approved approaches.
Added 47 mins ago
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Technology Program Management, Vice President
MUFG
Toronto, ON
- Full-time
…coordinates dependencies and resources, oversees schedules and reporting, and provides executive updates on strategy, budgets, risks, controls, and delivery. The role also tracks technology…
Added 47 mins ago
K
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 47 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 1 hour ago
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Senior Analyst
BMO
Toronto, ON · FCP
- Full-time
…quarter-, and year-end closing process, including financial reporting and financial governance. Supports an efficient and effective accounting function that uses common information sources…
Added 1 hour ago
F
Workforce Planning Analyst
FortisBC
Trail, BC
- Full-time
As our Workforce Planning Analyst, you are responsible for the short and long term scheduling and forecasting needs for our Gas and Electric contact centre(s) and Billing Operations. You…
Added 1 hour ago
F
Workforce Planning Analyst
FortisBC
Prince George, BC
- Full-time
As our Workforce Planning Analyst, you are responsible for the short and long term scheduling and forecasting needs for our Gas and Electric contact centre(s) and Billing Operations. You…
Added 1 hour ago
F
Workforce Planning Analyst
FortisBC
Burnaby, BC
- Full-time
As our Workforce Planning Analyst, you are responsible for the short and long term scheduling and forecasting needs for our Gas and Electric contact centre(s) and Billing Operations. You…
Added 1 hour ago
SI
Business Analyst/Project Maanger with Capital Markets experience
Smart IT Frame LLC
Mississauga, ON
- Contract
We are seeking an experienced Business Analyst / Project Manager (BA/PM) with strong expertise in Banking & Financial Services, Regulatory Compliance, Regulatory Reporting, Consent Order…
Added 1 hour ago
A
SCM Support Analyst
Adecco
Calgary, AB
- $49 to $60 CAD / hour
- Full-time
Reporting to the Team Lead, SCM Support Services, the SCM Support Analyst provides front-line support for Supply Chain Management (SCM) applications and procure-to-pay (P2P) processes…
Added 1 hour ago
O
Lead Revenue Operations Analyst
OpenText
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 1 hour ago
IS
SCM Support Analyst
InSync Systems
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.…

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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