Investigation Analyst – Provider Risk

Manulife

Waterloo, Ontario, Canada
Base: $43,875.00 cad - $73,125.00 cad; bonus/equit...
Hybrid
Group benefits knowledge
Canadian healthcare environment
Fraud and abuse risk management
The Investigation Analyst – Provider Risk plays a crucial role in preventing, detecting, and investigating fraud and abuse among healthcare providers, implementing risk mitigation strategies to protect benefit plans

Job Summary

  • The Investigation Analyst – Provider Risk plays a crucial role in preventing, detecting, and investigating fraud and abuse among healthcare providers, implementing risk mitigation strategies to protect benefit plans.
  • This position involves collaboration with internal departments and external contacts, reporting to the Senior Manager, Fraud Risk Management, and is key to safeguarding plan sponsors and members from claims fraud.
  • Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans.

Matching Summary

The Investigation Analyst – Provider Risk plays a crucial role in preventing, detecting, and investigating fraud and abuse among healthcare providers, implementing risk mitigation strategies to protect benefit plans.

Salary

Base: $43,875.00 CAD - $73,125.00 CAD; Bonus/Equity: Incentive programs and incentive compensation tied to business and individual performance; Benefits: Health, dental, mental health, vision, disability, life insurance, retirement savings plans, paid time off

Skills & Requirements

Must-have

  • Group Benefits knowledge
  • Canadian healthcare environment
  • fraud and abuse risk management
  • risk-based data profiling
  • investigation leadership
  • stakeholder engagement

Nice-to-have

  • investigative spirit
  • creative and critical thinking
  • flexible work environment
  • well-being and inclusion focus

Key Requirements

  • University degree or equivalent work experience
  • CFE designation is an asset
  • Intermediate or higher data analysis skills
  • Demonstrated investigation skills

Work Rights

Not specified

Tailored Resume

Cover Letter