Waterloo, On Director, global business analytics and processes Jobs – 181 Openings This Week

Investigation Analyst – Provider Risk
Manulife —Waterloo, ON
- $43,875–$73,125 a year
- Full-time
- Hybrid work
- Bilingual
- Microsoft Excel
- Data analysis skills
- Disability insurance
- Dental care
Director of Operations, GMV - NA -Sales & Marketing
GMV-NA INC —Ayr, ON
- $90,000–$110,000 a year
- Full-time
- Sales
- Marketing
- ERP systems
- Dental care
- Paid time off
Quick apply
Director of Infrastructure and Policy, Moosonee, ON
Weeneebayko Area Health Authority —Ontario
- $70.41–$84.19 an hour
- Full-time
- Hybrid work
- Microsoft Office
- Project management
- Presentation skills
- Dental care
- Employee assistance program
Quick apply
Director, Enterprise Business Applications
Hammond Power Solutions Inc. —Guelph, ON
- Hybrid work
- Azure
- Computer Science
- PMP
- Paid time off
- Employee assistance program
Quick apply
Director of Patient Care, Fort Albany, ON
Weeneebayko Area Health Authority —Ontario
- From $70.42 an hour
- Part-time
- Nursing
- Master's degree
- Bachelor's
- Dental care
- Employee assistance program
Quick apply
Director of Long Term & Elder Care, Moose Factory, ON
Weeneebayko Area Health Authority —Ontario
- $70.42–$84.19 an hour
- Full-time
- Nursing
- Master's degree
- Bachelor's
- Dental care
- Employee assistance program
Quick apply
Head of Technology and IT Security
ISB Global Services —Guelph, ON
- $125,000–$175,000 a year
- Full-time
- Azure
- DevOps
- Software development
- Dental care
- Paid time off
Quick apply
Executive Director (Administrator) (Orillia)
Arcavia (Orillia) LTC LP —Ontario
- $100,000–$135,000 a year
- Full-time
- Communication skills
- Dental care
Quick apply
Associate Director of IPAC (Orillia)
Arcavia (Orillia) LTC LP —Ontario
- $63,000–$90,000 a year
- Full-time
- Communication skills
- Dental care
Quick apply
Associate Director of Care (RN) (Orillia)
Arcavia (Orillia) LTC LP —Ontario
- $84,000–$115,000 a year
- Full-time
- Communication skills
- Nursing
- Dental care
Quick apply
Senior Director of Human Resources
Elby Professional Recruitment Inc —Kitchener, ON
- $160,000–$180,000 a year
- Presentation skills
- Human resources
- Leadership
Quick apply
Travel Director of Care (DOC) – Long Term Care
SpeedStaff Medical —Ontario
- $75 an hour
- Temporary
- CPR Certification
- BLS Certification
- Team management
- Flexible schedule
Quick apply
Account specialist, High Value at Risk (HVAR)
BMO Financial Group —Ontario
- $45,500–$84,500 a year
- 8 hour shift
- Remote
- Microsoft Excel
- Microsoft Office
- Computer skills
- Tuition reimbursement
- Flexible schedule
2d
Senior Director, LEO Satellite Operations
Holt Executive —Ontario
- Engineering
- Math
- Bachelor's
Quick apply
Regional Director - Clinic Support
Passion Dental Group —Kitchener, ON
- Full-time
- Travel
- Organizational skills
- Budgeting
- Dental care
Quick apply
3d
Director of Sales
Breakaway Staffing —Cambridge, ON
- $140,000–$150,000 a year
- Sales
- Leadership
Quick apply
Director, Group Underwriting
Medavie —Ontario
- $120,335–$170,000 a year
- Full-time
- Remote
- Bilingual
- Microsoft Excel
- Management
- Dental care
Director of Care ( RN)
MedMatch Recruitment —Ontario
- $120,000–$125,000 a year
- Full-time
- Organizational skills
- Leadership
- Communication skills
Quick apply
10d
Director, Global Business Analytics and Processes
Septodont —Cambridge, ON
- $140,000 a year
- Full-time
- ERP systems
- Finance
- Master's degree
- Employee assistance program
Director, Enablement and Business Architecture
Equitable CA —Waterloo, ON
- $97,000–$145,000 a year
- Full-time
- Hybrid work
- Computer Science
- Bachelor's
- Business
Quick apply

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Investigation Analyst – Provider Risk

Manulife -
Waterloo, ON

Apply Now

Job details

Full-time
$43,875–$73,125 a year

Qualifications

Bilingual
French
Microsoft Excel
Data mining
Certified Fraud Examiner
Data analysis skills
English
Analysis skills
Presentation skills
Bachelor's
Data analytics
Organizational skills
Communication skills

Full job description

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

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.

Apply Now

Refine Your Search

director, global business analytics and processes jobs in waterloo, on

Investigation Analyst – Provider Risk

Director of Operations, GMV - NA -Sales & Marketing

Director of Infrastructure and Policy, Moosonee, ON

Director, Enterprise Business Applications

Director of Patient Care, Fort Albany, ON

Director of Long Term & Elder Care, Moose Factory, ON

Head of Technology and IT Security

Executive Director (Administrator) (Orillia)

Associate Director of IPAC (Orillia)

Associate Director of Care (RN) (Orillia)

Senior Director of Human Resources

Travel Director of Care (DOC) – Long Term Care

Account specialist, High Value at Risk (HVAR)

Senior Director, LEO Satellite Operations

Regional Director - Clinic Support

Director of Sales

Director, Group Underwriting

Director of Care ( RN)

Director, Global Business Analytics and Processes

Director, Enablement and Business Architecture

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