Mississauga, Ontario, Canada · Hybrid
$30/hr–$33/hr
The job profile for this position is Quality Review and Audit Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible st…
Skills: Claim Verification, Audit Execution, Data Analysis, Regulatory Compliance, Risk Management
Mississauga, Ontario, Canada · On-site
Broccolini is an equal opportunity employer and we are committed to creating a diverse and inclusive environment. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation…
Skills: HSE Leadership, Strategic Planning, Team Management, Regulatory Compliance, Incident Investigation
Mississauga, Ontario, Canada · Hybrid
Req Id: 429236 Connection is everything. It drives us to innovate, explore, and stay close to what matters to us most. At Bell, we’re building a more connected future through world-class networks, AI-powered solutions, a…
Skills: OSI Model, TCP/IP, Ethernet, LAN/WAN, ITIL
Mississauga, Ontario, Canada · Hybrid
Req Id: 429236 Tout part d’une connexion. Elle nous pousse à innover, à explorer et à rester proches de ce qui compte le plus pour nous. Chez Bell, nous bâtissons un avenir plus connecté grâce à des réseaux de calibre mo…
Skills: OSI Model, TCP/IP, Ethernet, LAN/WAN, ITIL
Mississauga, Ontario, Canada · On-site
$90k–$140k/yr
Job Description What is the opportunity? RBC Insurance’s Supplier Management team is seeking a dynamic and innovative Senior Manager to elevate our third-party risk and supplier governance programs. This role offers the …
Skills: Big Data Management, Communication, Design Thinking, Interpersonal Relationship Management, Risk Management
Mississauga, Ontario, Canada · On-site
Superintendent (Live-in or live-out) Reporting to the Property Manager, the Superintendent will be responsible for supporting the maintenance and day-to-day operations of a high-rise apartment building located at 5754 Yo…
Skills: Mechanical Aptitude, Plumbing, Electrical, Carpentry, Yardi Property Management Software
Mississauga, Ontario, Canada · On-site
✈️ Who we are: Chartright Air Group is an innovator within the Canadian aviation industry, offering tailored private jet charter, turn-key aircraft management, aircraft maintenance and FBO services. Our commitment to saf…
Skills: Flight Management Systems, Glass Cockpits, Aviation Weather Analysis, Flight Plan Calculations, Fuel Planning
Mississauga, Ontario, Canada · On-site
✈️ Who we are: Chartright Air Group is an innovator within the Canadian aviation industry, offering tailored private jet charter, turn-key aircraft management, aircraft maintenance and FBO services. Our commitment to saf…
Skills: Flight Management Systems, Glass Cockpits, Aviation Weather Analysis, Flight Plan Calculations, Fuel Planning
Mississauga, Ontario, Canada · On-site
$20/hr–$23/hr
Stephenson’s Rental Services is a Canadian owned and operated success story and a trusted leader in the equipment rental industry. We don’t just rent equipment – we fuel projects, power progress, and he…
Skills: Equipment Maintenance, Industrial Heater Service, Troubleshooting, Technical Aptitude, Safety Compliance
Mississauga, Ontario, Canada · Hybrid
About Symcor Symcor enables secure data exchanges and supporting business processes, to help clients succeed in an evolving digital world. Trusted by Canada's largest institutions for over 25 years to support their digit…
Skills: Azure, Bicep, ARM Templates, Python, Bash
Mississauga, Ontario, Canada · On-site
$20/hr–$23/hr
Stephenson’s Rental Services is a Canadian owned and operated success story and a trusted leader in the equipment rental industry. We don’t just rent equipment – we fuel projects, power progress, and he…
Skills: Equipment Maintenance, Industrial Heater Service, Technical Troubleshooting, Diesel Engine Knowledge, Gas Fuel Engines
Mississauga, Ontario, Canada · On-site
Radiation Protection Specialist Reporting to the Radiation Protection Manager, the Radiation Protection Specialist (RPS) is responsible for supporting the radiation protection program on a project. This involves implemen…
Skills: Radiation Protection, Health Physics, Radiological Assessment, Technical Writing, ALARA Planning
Mississauga, Ontario, Canada · Hybrid
SKYSERVICE BUSINESS AVIATION Skyservice is the North American market leader in business aviation. Built on the key principles of safety and service excellence, we offer full-service support and expertise in aircraft mana…
Skills: Flight Crew Supervision, Regulatory Compliance, Performance Management, Standard Operating Procedures, Route Assessment
Mississauga, Ontario, Canada · On-site
$70k–$85k/yr
Connect with us LinkedIn, Instagram, Facebook, Twitter. Thinking about a change? We recognize that the construction industry is changing at a rapid pace and we continually strive to be at the forefront. Our core values e…
Skills: HSE Program Development, Document Control, OHSA Compliance, Technical Writing, Stakeholder Collaboration
Mississauga, Ontario, Canada · On-site
The role of a Senior Swim Instructor is to provide expert guidance and training to the instructional staff, playing a crucial part in the growth and success of Aqua Life’s swim program. Senior Swim Instructors ensure the…
Skills: Swim Instruction, Water Safety, Mentoring, Coaching, Leadership
Mississauga, Ontario, Canada · Hybrid
Job Description Overview AtkinsRéalis is one of Canada's largest private sector nuclear engineering groups. We have been providing a wide range of services to the nuclear industry in Canada and around the world since for…
Skills: Crane Operation, Lift Truck Operation, Facility Maintenance, Hazardous Waste Management, Work Permit Coordination
Mississauga, Ontario, Canada · On-site
$112k–$162k/yr
Job Description The Data Privacy Lead Analyst is responsible for facilitating/ executing the day-to day activities to support governance and oversight, operational risk management and controls leadership across the Data …
Skills: Controls Management, Digital Skills, Escalation Management, Laws And Regulations, Policy And Procedure
Mississauga, Ontario, Canada · On-site
$55k–$65k/yr
We’re looking for motivated, engaged people to help make everyone’s journeys better. Culinary excellence, operational integrity, and a passion for distinctive customer service -- this is what you can expect when partneri…
Skills: Food Safety, Quality Auditing, HACCP, ISO 22000, GMP
Mississauga, Ontario, Canada · Hybrid
Job Description Overview The Facility Technician is one of the primary contacts for all activities related to the SP3 nuclear lab. The role requires a high level of organization and attention to details such as the corre…
Skills: Facilities Management, Contractor Coordination, Scheduling, Mechanical Maintenance, Electrical Maintenance
Mississauga, Ontario, Canada · On-site
SKYSERVICE AVIATION D’AFFAIRES Skyservice est le chef de file nord-américain de l’aviation d’affaires. Axés sur les principes clés de sécurité et d’excellence, nous offrons une expérience de soutien de services et une ex…
Skills: Flight Operations, International Flight Experience, Customer Service, Pressure Management, Aircraft Command
Mississauga, Ontario, Canada • Hybrid
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Conduct various types of healthcare claim audits across Canada to ensure provider compliance with benefit plan designs and professional regulations. Identify risk trends and provide recommendations to enhance the integrity of health claims for customers.
Requires 2-5 years of healthcare experience and graduation from an accredited pharmacy education program, with an RPhT designation preferred. Must possess a valid driver's license and be able to travel 20-30% of the time.
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
Location: Mississauga
Employment Type: Contract
Reason for Vacancy: New Headcount
Work Arrangement: Hybrid
Department Name: Fraud, Waste, and Abuse
Pay Type: Hourly
Pay Range: $30.75 to $33.00. Please note that this is a general posting range and offer range will be varied based on relevant experience, qualifications, skills required and location for this role.
Express Scripts Canada (ESC) is a leading health benefits management company. Serving over 12 million members, we help insurance carriers, third party administrators, and the public sector optimize the value of health benefits by linking the talent and professional expertise of our people with leading edge information management systems and technology. ESC is a wholly owned subsidiary of Express Scripts Inc., one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for Canadians.
The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education.
The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations. The Auditor uses their analytical and investigative skills along with their practice and knowledge of provincial benefit coverage to identify trends observed from claim reviews and to ensure that the audit techniques evolve to remain effective in managing risk for ESC customers.
This role is particularly well-suited for individuals with a background as a Pharmacy Assistant or Pharmacy Technician who are looking to leverage their clinical knowledge in a dynamic, insight-driven role.
Perform claim verifications, desk and/or on-site audits
Communicate with providers to gather information for audits, to educate on claim submission practices and to respond to queries in regards to audit results
Assess provider documentation to ensure compliance with enrolment agreement, benefit plan design and provincial regulations.
Calculate the adjustments required to correct claim transactions
Prepare, coordinate and travel to conduct on-site audit at the provider’s location, and complete the post on-site audit activities
Compile and produce audit reports that are detailed and unbiased
Perform self and peer-review to ensure accuracy and quality of claim reviews
Track audit activity and summarize results of claim analysis and recoveries on a daily and/or monthly basis for department statistics for presentation to customers
Identify trends observed from claim reviews and provide recommendations for risk criteria changes and/or candidates for a desk or on-site audit.
Recommend incremental and continuous ideas that will increase ability to prevent and manage risk that will bring the most value to customers
Respond to internal and external customer questions professionally, timely and accurately
Other duties and responsibilities as assigned
2-5 years recent experience in a health care environment
Graduate of an accredited pharmacy education program; RPhT. designation is preferred
Valid driver’s license and ability to travel in Canada, range of 20-30% of the time
In-depth knowledge of extended healthcare benefits, reimbursement and extended health care regulations is an asset
Previous audit/investigation experience in the healthcare industry is an asset
Experience with working with data and reports, with the ability to analyze information and identify inconsistencies.
Ability to manage confidential information
Effective time management and organizational skills
Strong critical thinking skills with ability to analyze, problem-solve and mediate difficult situations
Self-driven, curious, capable of working independently with minimal supervision
Strong interpersonal skills: team player and ability to work cross-functionally with other departments
Flexible, resourceful, with a mindset that embraces and champions change
Ability to manage high priority tasks in a fast-paced environment
Ability to research and effectively communicate findings
Passionate about development and continuous learning
Excellent verbal and written communication skills
Proficiency in MS Office (Excel, Word, Outlook)
Bilingualism (French & English) is an asset
LOMA or HIAA training would be an asset
Competitive compensation, benefits and pension plan
Career development and advancement opportunities
A culture that celebrates innovation and collaboration
Flexible work options and wellness programs
All offers of employment are conditional upon the successful completion of reference checks and background verification in accordance with company policy. Within ESC, for certain positions, obtaining and maintaining a federal government security clearance is a condition of employment. Candidates applying for such roles must meet all eligibility criteria for the applicable clearance level and consent to the security screening process as mandated by federal regulations. Failure to obtain or maintain the required clearance will result in withdrawal of the offer or termination of employment.
Our hiring process includes AI-powered tools to conduct video interviews, take notes and score candidates; however, all scores will be reviewed by hiring managers and our Talent team before making a decision.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health. The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.
Offices: 900 Cottage Grove Rd, Bloomfield, Connecticut 06002, US
There are currently 166 open security & safety positions in Mississauga, Canada listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Dexterra Group, The TJX Companies, Inc., City of Mississauga, OISE, Department of Leadership, Higher and Adult Education - University of Toronto, Bird Construction, among others. Browse the listings above to see every active employer.
Yes — 28 of the 166 open security & safety positions offer remote or hybrid work (3 remote, 25 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
