25 meilleures offres (risk analyst, waterloo, on) (à pourvoir)

Investigation Analyst – Provider Risk
Manulife —Waterloo, ON
- De 43 875 $ à 73 125 $ par an
- Temps plein
- Travail hybride
- Bilingue
- Microsoft Excel
- Analyse de données
- Assurance Invalidité
- Assurance Dentaire
21 h
Credit Risk Review Analyst
Manulife —Waterloo, ON
- De 51 975 $ à 86 625 $ par an
- Temps plein
- Travail hybride
- Anglais
- Assurance Invalidité
- Assurance Dentaire
IT Governance, Risk and Compliance Analyst
Equitable CA —Waterloo, ON
- De 80 000 $ à 90 000 $ par an
- Temps plein
- Travail hybride
- Baccalauréat
- Diplôme universitaire non requis
- Compétences en communication
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Sr. Credit Risk Analyst
OpenText —Waterloo, ON
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- Salesforce
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Finance Business Analyst
McAfee, LLC —Waterloo, ON
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- Travail hybride
- Microsoft Excel
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Financial Analyst (Contract)
Agricorp —Guelph, ON
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- Microsoft Office
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Solution Architect
Home Hardware Stores Limited —St. Jacobs, ON
- De 85 800 $ à 128 600 $ par an
- Temps plein
- Travail hybride
- Azure
- Informatique
- Baccalauréat
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- Assurance Dentaire
Senior Data Analyst
Sun Life —Waterloo, ON
- De 80 000 $ à 128 000 $ par an
- Temps plein
- Microsoft Powerpoint
- Microsoft Word
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il y a 5 jours
Security Analyst
Grand River Hospital —Kitchener, ON
- Temps plein
- Informatique
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Information Security Compliance Analyst
Gowling WLG —Kitchener, ON
- De 100 000 $ à 115 000 $ par an
- Temps plein
- Travail hybride
- Bilingue
- Anglais
- Baccalauréat
- Assurance Invalidité
- Assurance Dentaire
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il y a 12 jours
Sr. Security Analyst
OpenText —Waterloo, ON
- De 86 800 $ à 130 200 $ par an
- Compétences en communication
- Congés payés
il y a 8 jours
Credit and Collections Analyst
Teledyne Technologies Inc. —Waterloo, ON
- Heures supplémentaires
- Microsoft Excel
- Oracle
- Compétences en communication
Infrastructure IT Analyst
3M —Milton, ON
- Temps plein
- Windows
- Microsoft Office
- Diplôme d'études secondaires
il y a 5 jours
Manager, Customer Analytics
Jobber —Kitchener-Waterloo, ON
- De 151 200 $ à 204 500 $ par an
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- Travail hybride
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Analyst, Corporate Finance
KPMG —Waterloo, ON
- De 58 000 $ à 76 000 $ par an
- Temps plein
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Director, Fintech & Risk Analytics
Jobber —Kitchener-Waterloo, ON
- De 203 200 $ à 274 900 $ par an
- Temps plein
- Travail hybride
- Ingénierie
- Finance
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Senior Internal Audit and SOX Compliance Analyst
BlackBerry —Waterloo, ON
- De 73 600 $ à 103 500 $ par an
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- Microsoft Office
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Business Analyst, Senior - Individual Project Management
Equitable CA —Waterloo, ON
- De 66 000 $ à 99 000 $ par an
- Temps plein
- Travail hybride
- Baccalauréat
- Agile
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Credit & Collections Analyst
Teledyne Technologies Inc. —Waterloo, ON
- De 46 100 $ à 61 400 $ par an
- Heures supplémentaires
- Microsoft Excel
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Sr Analyst, Financial Planning & Analysis Role
Definity Financial Corporation —Waterloo, ON
- De 73 500 $ à 123 500 $ par an
- Temps plein
- Travail hybride
- Microsoft Powerpoint
- Microsoft Excel
- Oracle
- Bourses d'Études
- Congés payés
Strategy and Project Consultant
Grand River Hospital —Kitchener, ON
- Temps plein
- Microsoft Word
- Microsoft Excel
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Project Manager
RideCo —Waterloo, ON
- De 80 000 $ à 120 000 $ par an
- Microsoft Excel
- PMP
- Ingénierie
- Assurance Dentaire
- Horaire flexible avec plage fixe
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Research Finance Specialist
University of Waterloo —Waterloo, ON
- De 87 620,25 $ à 109 525,32 $ par an
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Programs and Portfolio Analyst
Gore Mutual Insurance —Cambridge, ON
- De 67 000 $ à 117 000 $ par an
- Esprit d'analyse
- Baccalauréat
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il y a 6 jours
Director, Information Technology & Business Systems
eSentire —Waterloo, ON
- De 150 000 $ à 170 000 $ par an
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il y a 6 jours

Je souhaite recevoir la dernière alerte emploi pour les postes de ce type : risk analyst (waterloo, on)

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Investigation Analyst – Provider Risk

Manulife
Waterloo, ON

Postuler dès maintenant

Détails du poste

Temps plein
Il y a 21 heures

Avantages

Assurance Maladie Complémentaire
Assurance Invalidité
Assurance Dentaire
Congés payés
Assurance Vision

Compétences

Bilingue
Français
Microsoft Excel
Exploration de données
Examinateur Agréé en Matière de Fraude
Analyse de données
Anglais
Esprit d'analyse
Capacités de présentation
Baccalauréat
Analytique des données
Sens de l'organisation
Compétences en communication

Description complète du poste

Manulife’s Group Benefits Health and Dental Claims Risk Management department is a diverse and dynamic team delivering a broad range of services in support of key operational objectives. Our responsibilities include digital claims risk management, claims abuse management and monitoring programs, fraud investigations, data analytics, and claims experience management. The effective management of health and dental claims experience is imperative to the success of the group benefits operations.

The Investigation Analyst will draw on their in-depth analytical skills, investigative mindset, customer focus, group benefits background and understanding of the Canadian Healthcare environment/regulation to help manage ongoing priorities in the delivery of risk management.

A key focus of the Investigation Analyst is the prevention, detection, and investigation of fraud and abuse specific to health care providers. This role will proactively identify risk, champion mitigation strategies, conduct provider investigations and take actions to protect Manulife benefit plans from fraud. The role may liaise externally with industry contacts and vendors, and internally with Legal, Compliance, Advanced Analytics, Marketing, Customer Service, Client Relations, Ombudsman and the Field as needed.

This role reports to the Senior Manager, Fraud Risk Management, and helps to protect plan sponsors and members from the negative impacts of claims fraud. This role is focused on provider risk mitigation, which is a key part of the foundation for our investigation programs and a vital part of claims risk management.

Position Responsibilities:

Perform risk-based data profiling and analysis to identify trends and outliers in various categories for further review and investigation
Lead and support audit programs; coordinating, assessing, and making decisions on investigations
Take initiative and lead investigations to successful conclusion including the preparation of criminal and regulatory complaints
Conduct interviews of plan members, providers of service and others
Create written audits and other correspondence to plan members, providers of service and others
Engages, interacts and consults with various internal contacts such as Customer Service, Legal, Client Relations, Medical Consultants, Regional Group Office and external stakeholders such as Health Practitioner Regulatory Bodies, Colleges and Associations, and Plan Sponsors
Lead, support and implement key investigative projects
Comfortable delivering effective presentations to new and existing clients
Travel may be required for this role including the ability to work outside of core working hours

Required Qualifications:

Knowledge of Group Benefits
Knowledge of the Canadian healthcare environment, service delivery model and regulation
University degree or equivalent work experience

Preferred Qualifications:

Bilingualism (English and French) is an asset. If the successful candidate is in Québec, proficiency in both languages will be required to support clients from various provinces outside of Quebec.
CFE designation is an asset
Knowledge of fraud and abuse risk, and techniques to manage risk
Strong research, problem solving and decision-making skills
Ability to manage contentious interactions with various stakeholders
Excellent oral communication (both phone and face to face) and written communication skills
Intermediate or higher data analysis skills with expertise using Excel and other data mining software
Demonstrated investigation skills with attention to detail
Ability to be creative, critical and aggressive in managing audit and investigative activities
Organizational skills and the ability to manage multiple conflicting priorities

When you join our team:

We’ll empower you to learn and grow the career you want.
We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team, we’ll support you in shaping the future you want to see.

#LI-HYBRID

The role being advertised is an existing vacancy.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [email protected].

Referenced Salary Location

Waterloo, Ontario

Working Arrangement

Hybrid

Salary range is expected to be between

$43,875.00 CAD - $73,125.00 CAD

Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact [email protected] for the salary range for your location.

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. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S., please contact [email protected] for more information about U.S.-specific paid time off provisions.

We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement.

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Je souhaite recevoir la dernière alerte emploi pour les postes de ce type : risk analyst (waterloo, on)

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