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 patternsDevelop criteria for provider and plan member profilingRecommend cost-containment and risk-mitigation strategiesCreate impactful executive-level reports on findingsAdminister training and support for investigative practicesRequirements:Five years' experience in fraud detection or healthcare auditingExceptional analytical skills with large data setsStrong communication abilities in EnglishUnderstanding of relevant legislation and complianceCapable of working in fast-paced environmentsLeverage your skills in data analysis and investigation to champion a healthier future for all Canadians at GreenShield.

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