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Added 5 hours ago
ED
Senior Network Delivery Engineer - EN 235
Export Development Canada | Exportation et développement Canada
Remote, Canada
- Full-time
- Remote
Define, execute, and sustain the integrated technology target state, target data model and technology operations required to enable EDC’s 2030 business transformation.
Added 5 hours ago
R
Lead Senior Software Engineer
RBC
Toronto, ON
- Full-time
Be a part of a team, Wealth Management Technology, to build and transform Backend Trading products for our clients. You will be heavily involved in shaping our RBC technology landscape,…
Added 6 hours ago
PA
Senior Analyst, QA
Porter Airlines Inc.
Toronto, ON
- Temporary
We are seeking a Senior Analyst, Quality Assurance to lead quality assurance activities across Porter’s customer-facing and internal IT delivery teams. This role will focus on designing…
Added 7 hours ago
S
Director, Digital Experience Platforms
Sobeys
Montreal, QC
- Full-time
The Director, Digital Experience Platforms (DXP) is accountable for the strategy, engineering delivery, operations, reliability, and evolution of all customer-facing digital experience…
Added 7 hours ago
3T
Site Reliability Engineer
360 Technology
Toronto, ON
- Full-time
Participate in the shared on-call rotation as the platform’s subject-matter escalation, and lead incident management for customer-facing events
Added 8 hours ago
M
Lead Penetration Tester
McKesson
Mississauga, ON
- Full-time
The McKesson Pentest Team is seeking a Lead Penetration Testing Engineer to help scale McKesson's Continuous Adversarial Testing (CART) program and strengthen the security posture of our…
Added 8 hours ago
R
Senior Embedded Software Engineer
Ranovus
Ottawa, ON
- Full-time
Social networking, machine learning, and big data analytics demand ever-increasing network connectivity. RANOVUS, with operations in Ottawa, Canada, Nuremberg, Germany, and San Jose, USA,…
Added 8 hours ago
R
Gestionnaire de projet, développement des affaires manufacturières canadiennes / Canadian Manufacturing Business Development Project Manager
RTX
Longueuil, QC
- Full-time
…passagers et de marchandises aux services médicaux d’urgence, aux opérations humanitaires et à la lutte contre les feux de forêt, partout dans le…
Added 8 hours ago
AS
Software Developer
AgileGrid Solutions
Canada
- Full-time
…and scale modern software solutions that support healthcare technology innovation. In this role, you will help deliver secure, reliable, and scalable applications across cloud-native…
Added 8 hours ago
S
Junior Software Developer
SECURE
Calgary, AB
- Other
At SECURE, we lead the way in waste management and energy infrastructure, providing unmatched security and peace of mind to our customers. Our strength lies in our size, extensive network,…
Added 8 hours ago
PA
Senior Analyst, QA
Porter Airlines Inc.
Toronto, ON
- Full-time
We are seeking a Senior Analyst, Quality Assurance to lead quality assurance activities across Porter’s customer-facing and internal IT delivery teams. This role will focus on designing…
Added 9 hours ago
IG
Agile Delivery Lead
Insight Global
Calgary, AB · Greater Calgary Metropolitan Area
- $70 to $75 CAD / hour
- Contract
We are seeking an experienced Agile Delivery Lead for a 6 month contract with a likelihood of extensions to lead a complex data and application modernization initiative. A successful…
Added 9 hours ago
Senior Manager, Development
Scotiabank
Toronto, ON
Scotiabank continues to be an industry leader for Payments technology and innovation. We have a history of safely leveraging new tools to enable new experiences for our customers, focusing…
Added 9 hours ago
R
Gestionnaire de projets, Réseau des centres moteurs – Project Manager, Engine Center Network
RTX
Longueuil, QC
- Full-time
…passagers et de marchandises aux services médicaux d’urgence, aux opérations humanitaires et à la lutte contre les feux de forêt, partout dans le…
Added 9 hours ago
Head of MyG Core Workflows
Geotab
Oakville, ON
…options, allows both small and large businesses to automate operations by integrating vehicle data with their other data assets. Processing billions of data points a day, Geotab leverages…
Added 9 hours ago
C
Software Developer, Hybrid, Ottawa, Canada
Cisco
Ottawa, ON
- Full-time
…and Cisco Catalyst Center. In this role, you will design and lead the development of unified management solutions that bridge cloud-native Cisco Cloud Control environment with on-premises…
Added 9 hours ago
V
Senior Software Engineer
Voices
ON · Ontario, Canada
- Full-time
Lead the design and extension of applications built on modern frameworks, contributing to architectural decisions and technical direction.
Added 10 hours ago
S
PET Manager
Shell
Scotford, AB
- Full-time
…expectations and outcomes across Projects, Engineering and Technology (Process Engineering and Process…
Added 11 hours ago
Director, Digital Experience Platforms
Sobeys Capital Incorporated or a Franchise/Affiliate / ou une franchise/société affiliée
Montreal, QC
The Director, Digital Experience Platforms (DXP) is accountable for the strategy, engineering delivery, operations, reliability, and evolution of all customer-facing digital experience…
Added 11 hours ago
V
Integration Specialist / Spécialiste, intégration
Vention
Montreal, QC
- Full-time
Headquartered in Montreal, Detroit and Munich, Vention helps manufacturers automate their operations in record time with the only hardware and software AI-powered platform built for the…
Added 11 hours ago
P
Portfolio Release Manager, Developer Experience Platform
Priceline
Toronto, ON
- Full-time
Our Technology team is the backbone of our company: constantly creating, testing, learning and iterating to better meet the needs of our customers. If you thrive in a fast-paced, ideas-led…
Added 11 hours ago
XI
Director, Network Development & Operations
Xplore Inc.
Woodstock, NB
- Full-time
Working in close partnership with Network Architecture & Technology Strategy, the Director ensures that architectural intent is executed through modern DevOps practices, and brings…
Added 11 hours ago
XI
Director, Network Development & Operations
Xplore Inc.
Fredericton, NB
- Full-time
Working in close partnership with Network Architecture & Technology Strategy, the Director ensures that architectural intent is executed through modern DevOps practices, and brings…
Added 11 hours ago
GT
Databricks Engineer - Expert
Global Technical Talent, an Inc. 5000 Company
Toronto, ON
- $85 to $95 CAD / hour
- Contract
This role sits within the Global Asset Management Technology line of business, which focuses on institutional execution - the process by which asset managers carry out large-scale…
Added 11 hours ago
XI
Director, Network Development & Operations
Xplore Inc.
Cornwall, ON
- Full-time
Working in close partnership with Network Architecture & Technology Strategy, the Director ensures that architectural intent is executed through modern DevOps practices, and brings…

The Cigna Group

Fraud, Waste and Abuse Operations Lead Analyst - 12 Months Contract - Express Scripts Canada

Mississauga, ON, L5N 8G6, Canada

Hybrid

Pay Range: $60,000-$68,000. · Full-time

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Job details

Pay: Pay Range: $60,000-$68,000.
Job type: Full-time
Workplace: Hybrid
Experience: 3+ years of related experience in Pharmacy and/or Dental Benefits Management, Group Insurance or Health Care Operations
Posting language: English
Posted: Oct 6, 2026

Original job description

Job Title: Fraud, Waste and Abuse Operations Lead Analyst

Location: 300 – 6985 Financial Drive Mississauga Ontario
Employment Type: Contract 1 Year

Reason for Vacancy: Replacement

Work Arrangement: Hybrid
Department Name: Fraud, Waste and Abuse

Pay Type: Salaried

Pay Range: $60,000-$68,000. Please note that this is a general posting range and offer range will be varied based on relevant experience, qualifications, skills required and location for this role.

About Us

Express Scripts Canada (ESC) is a leading health benefits management company. Serving over 12 million members, we help insurance carriers, third party administrators, and the public sector optimize the value of health benefits by linking the talent and professional expertise of our people with leading edge information management systems and technology. ESC is a wholly owned subsidiary of Express Scripts Inc., one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for Canadians.

Job Summary:

The Operations Lead Analyst is responsible for administering operational efficiency processes that manage cost and optimize results, including financial data analysis and reporting as part of the Fraud, Waste and Abuse Program (FWA). The Operations Lead Analyst presents opportunities and findings both verbally and in writing to key internal and external stakeholders, including coordinating and providing updates to private and public sector customers and internal team(s) as necessary. The successful candidate will be involved in multiple projects and collaborate with department supervisors, managers and colleagues both in FWA and other cross functional departments. This is an exciting opportunity for an adaptable candidate to gain experience and exposure to the administrative, financial and reporting operations of the FWA department.

Key Responsibilities:

Produce financial reports for clients and provide insights into trends
Responsible for provider electronic withhold entries for audit recoveries for all benefits and monitor electronic withhold to satisfy timely audit recoveries
Collect and analyze quality assurance data for public sector client meetings and internal metrics
Ensure alignment and consistency of delivery of program between all benefits
Identify emerging trends and create presentations for clients to support audit result meetings
Work with both internal and external stakeholders to address client inquiries, gather, collect information, for deliverables
Conduct monthly quality assurance review of staff time trackers
Create and maintain forecasting tools for oversight on key performance indicators and emerging trends
Oversee program training documents, SOPs, and working instructions. Ensure processes are mapped out, outlined and organized for team to utilize
Lead quality-focused remedial training sessions for team. Assist managers with maintaining training records
Identify, lead and manage special projects and program initiatives
Continuously seek opportunities to create efficiencies within processes and drive value for the program
Resolve non-routine issues escalated from other team members
Tasks involve a degree of forward planning and anticipation of needs/issues
Other duties as assigned

Qualifications

Post secondary degree or equivalent work experience
3+ years of related experience in Pharmacy and/or Dental Benefits Management, Group Insurance or Health Care Operations
Demonstrated experience in quality assurance activities, data analysis, and reporting
Highly proficient in Microsoft Access & Excel, and data warehousing applications
Experience with compiling, manipulating or validating large pieces of data
Ability to maintain electronic filing systems
Display high levels of curiosity, integrity, tact and objective judgement
Excellent organizational, planning and critical thinking skills
Excellent verbal and written communication skills, including ability to present to clients and internal stakeholders
Proven interpersonal skills and ability to work well with senior management and high-level external contacts handling sensitive or confidential information is critical
Ability to work with minimum management oversight on multiple projects with competing priorities
Ability to work a flexible schedule in high pressure environments with urgent deadlines
Proven time and resource management skills; detail oriented with strong organizational abilities

Why Join Us?

Competitive compensation, benefits and pension plan
Career development and advancement opportunities
A culture that celebrates innovation and collaboration
Flexible work options and wellness programs

Pre-Employment Requirements

All offers of employment are conditional upon the successful completion of reference checks and background verification in accordance with company policy. Within ESC, for certain positions, obtaining and maintaining a federal government security clearance is a condition of employment. Candidates applying for such roles must meet all eligibility criteria for the applicable clearance level and consent to the security screening process as mandated by federal regulations. Failure to obtain or maintain the required clearance will result in withdrawal of the offer or termination of employment.

Our hiring process includes AI-powered tools to conduct video interviews, take notes and score candidates; however, all scores will be reviewed by hiring managers and our Talent team before making a decision.

Express Scripts Canada is a Cigna company

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

About Express Scripts Canada

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

If you require accommodation in completing the online application process, please email: eschr2@express-scripts.com Do not email eschr2@express-scripts.com for an update on your application or to provide your resume as you will not receive a response.

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More about this job

Responsibilities

The Operations Lead Analyst manages operational efficiency processes, including financial data analysis and reporting for the Fraud, Waste and Abuse Program. They collaborate with cross-functional teams and stakeholders to identify trends, provide insights, and lead special projects to drive program value.

Requirements

Candidates must have a post-secondary degree or equivalent experience, with at least 3 years in pharmacy/dental benefits, group insurance, or healthcare operations. Proficiency in Microsoft Access and Excel, along with strong data analysis and reporting skills, is required.

Skills

Financial data analysis
Reporting
Quality assurance
Microsoft Access
Microsoft Excel
Data warehousing
Critical thinking
Communication skills
Project management
Process improvement
Pharmacy benefits management
Dental benefits management
Group insurance
Data validation
Stakeholder management

Benefits

Competitive compensation
Benefits package
Pension plan
Career development opportunities
Wellness programs

Visa sponsorship

Not detected in the job text

Keywords

Fraud Waste and Abuse
Operations
Financial Reporting
Data Analysis
Quality Assurance
Pharmacy Benefit Management
Dental Benefits
Group Insurance
Microsoft Access
Microsoft Excel
Data Warehousing
SOP
Forecasting
Stakeholder Management
Audit Recoveries
Health Care Operations
Project Management
Process Mapping
Remedial Training
Enhanced Reliability Clearance

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