Step into the Lead Investigative Analyst role at GreenShield, where you will enhance fraud detection and prevention in healthcare advantages administration. Use your analytical skills and AI technology to safeguard health equity initiatives. With at least five years in audit and fraud detection, you will lead complex investigations and provide mentorship to investigative teams.

Your capacity to analyze data trends and develop proactive fraud measures will have direct implications on our community health initiatives. Collaborate effectively with providers and law enforcement to ensure the integrity of our services and commitments. Key Responsibilities:
Identify complex fraudulent claims and abuse patterns
Develop criteria for provider and plan member profiling




Recommend cost-containment and risk-mitigation strategies
Create impactful executive-level reports on findings
Administer training and support for investigative practices Requirements:
Five years’ experience in fraud detection or healthcare auditing
Exceptional analytical skills with large data sets
Strong communication abilities in English
Understanding of relevant legislation and compliance
Capable of working in rapid-paced settings Leverage your skills in data analysis and investigation to champion a healthier future for all Canadians at GreenShield.

📌 Lead Investigative Analyst In Fraud Detection Toronto (Canada)
🏢 Green Shield Canada (GSC)
📍 Canada