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$77k–$100k/yr
Full-time
bachelor degree
Public Service Pension Plan, Professional learning and development, Positive workplace culture, Work-life balance
Posted 1d ago
Apply by Sep 18
~37 hrs/week
Responsibilities
The Compliance Analyst extracts and analyzes health claims data to identify potential fraud, waste, or non-compliance within the Alberta Health Care Insurance Plan. They also prepare detailed reports and recommendations to support audit findings for both technical and non-technical stakeholders.
Requirements
Candidates must have a university degree in a related field such as data analytics, statistics, or health administration, along with at least two years of progressively responsible experience. Proficiency in data manipulation tools like SAS, SQL, R, or Python is highly preferred.
Full job description
Job Information Job Title: Compliance Analyst Job Requisition ID: 87076 Ministry: Primary and Preventative Health Services Location: Edmonton Full or Part-Time: Full Time Hours of Work: 36.25 hours per week Permanent/Temporary/Wage: Permanent Scope: Open Competition Closing Date: September 17, 2026 Classification: Program Services 3 (023PSA) Salary: $2,935.39 to $3,850.29 bi-weekly ($76,613 to $100,492/year)
The Alberta Public Service works to build a stronger province for current and future generations. We make a difference in the lives of Albertans through rewarding and diverse career opportunities.
The Department of Primary and Preventative Health Services provides leadership for Alberta’s publicly funded primary and preventative health system, including oversight of health practitioner claims, benefit programs, and health system accountability. Within the Financial Reporting Branch, the Audit and Compliance Assurance Unit supports compliance, monitoring, and performance oversight to help safeguard public funds and improve accountability under the Alberta Health Care Insurance Plan.
Reporting to the Manager, Data Analytics & Monitoring, the Compliance Analyst is responsible for extracting and analyzing Primary and Preventative Health Services Fee-for-Service claims data in order to derive actionable information about potential fraud, waste, abuse or other non-compliance within the Alberta Health Care Insurance Plan.
As an expert in advanced qualitative and quantitative data analytics, this position will interrogate data through the use of a variety of analytical and statistical methodologies. Going beyond manipulation of data, this position supports the execution of compliance reviews and audits by drafting detailed, comprehensive correspondence documentation in support of the analytic findings and interpretation.
Key Responsibilities:
Identify, assess, and prioritize potential areas of non-compliance, fraud, waste, or abuse within practitioner payment systems using data analytics, risk assessment, and business knowledge.
Extract, query, manipulate, validate, analyze, and report on large health data sets, including Alberta Health Care Insurance Plan claims data, to support audit and compliance review work.
Develop queries, analyses, reports, dashboards, and other analytic products to detect anomalies, monitor claiming trends, support triage decisions, and recommend next steps.
Work with interdisciplinary teams, including auditors, clinical advisors, managers, and internal partners, to conduct audits and compliance reviews and determine the scope and magnitude of potential non-compliance.
Prepare clear summaries, detailed reports, briefing materials, case-specific analyses, and recommendations that translate highly technical findings into plain language for technical and non-technical audiences.
Apply knowledge of applicable legislation, regulations, the Schedule of Medical Benefits, claims assessment rules, privacy requirements, and health system context to support sound analysis and decision-making.
Contribute to proactive risk management, stakeholder education, process improvements, policy enhancements, and system controls to reduce future non-compliance and inappropriate payments.
Collaborate with internal stakeholders, the Business Intelligence Environment team, application support areas, and external service providers to resolve data quality, reporting, and system issues.
The Job Description is provided for Further details on this position
APS Competencies
Competencies are behaviours that are essential to reach our goals in serving Albertans. We encourage you to have an in-depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.
Creative Problem Solving: Applies critical thinking, business knowledge, and analytic skills to uncover existing and emerging patterns of non-compliance, fraud, waste, or abuse. Engages colleagues and subject matter experts to generate solutions and address complex risks.
Systems Thinking: Considers how provider payments, claims assessment rules, legislation, data systems, and health system trends are interconnected. Identifies unintended consequences, gaps, and system-level risks that may affect compliance and public funds.
Drive for Results: Works independently with minimal supervision, manages competing priorities, and produces accurate, high-quality analyses, reports, and recommendations to support audits, compliance reviews, and operational decision-making.
Agility: Adapts to changing information, emerging risks, new data sources, evolving compensation models, and system updates while maintaining composure, accuracy, and sound judgment.
Build Collaborative Environments: Shares knowledge, values diverse expertise, and collaborates respectfully with auditors, clinical advisors, analysts, program areas, system partners, and vendors to support consistent, informed compliance work.
Qualifications
University graduation in a related field, preferably with a focus in science, technology, engineering, mathematics, data analytics, statistics, health administration, business administration, public administration, or another related discipline, plus 2 years of progressively responsible related experience; or equivalent as described below.
Equivalencies: Directly related education or experience considered on the basis of:
1 year of education for 1 year of experience; OR
1 year of experience for 1 year of education.
Preferred Experience for Compliance Analyst:
Experience extracting, querying, manipulating, validating, analyzing, and reporting on large data sets using database concepts and analytic tools.
Experience using SAS, SQL, R, or Python to query, extract, manipulate, and analyze data from a relational or cloud data warehouse.
Experience with Snowflake or a comparable cloud data platform is an asset.
Experience with SAS Visual Analytics, R Shiny, Tableau, Power BI, or similar visualization tools.
Experience applying data analysis, statistics, risk assessment, or data mining approaches to identify trends, anomalies, outliers, or compliance risks.
Knowledge of health claims data, medical terminology, claims processes, fraud, waste, and abuse principles, control frameworks, or public-sector compliance/audit activities.
Ability to interpret legislation, policies, procedures, business rules, or assessment rules and communicate complex technical findings clearly to non-technical audiences.
Minimum recruitment standards outline the minimum education and experience required for appointment to a job classification.
Notes
Hours of Work: Monday to Friday, 8:15 AM - 4:30 PM.
Locations: Edmonton, Alberta
36.25 hours per week
One (1) permanent position available.
Any costs associated with obtaining the required documents/checks as noted or interview travel expenses will be the responsibility of the candidate. Out-of-province applicants can obtain the required documents/checks from the province they currently reside in.
How To Apply Applicants are advised to provide information that clearly and concisely demonstrates how their qualifications meet the advertised requirements, including education, experience, and relevant examples of required competencies.
Candidates are required to apply for a job online. Please see Job Application Resources for information.
In your resume, please include dates (including months and years) associated with all education and work experience. For example, January 2006 - June 2009 (part-time). This example is provided for illustrative purposes only. Applicants are encouraged to present their information clearly and thoroughly, using a format that best conveys their experience.
It is recommended that applicants include the assessment certificate from IQAS or any other educational assessment service as part of their application.
Closing Statement This competition may be used to fill future vacancies, across the Government of Alberta, at the same or lower classification level.
We thank all applicants for their interest. All applications will be reviewed to determine which candidates' qualifications most closely match the advertised requirements. Only individuals selected for interviews will be contacted.
If you require any further information on this job posting or require an accommodation during the recruitment process, please contact Krista Lammie at [email protected]
Bringing you information about government news and services. Comment rules: http://alberta.ca/SMComments
Industry
Government Administration
Company size
10,001+ employees
Founded
1905
Headquarters
Edmonton, Alberta
LinkedIn followers
241,840
Work with the Alberta government to build a stronger province for current and future generations. We offer diverse and rewarding employment opportunities in an environment that encourages continuous learning and career growth.
We are one of the largest employers in Alberta with over 27,000 employees throughout the province. We are an award winning organization that values respect, accountability, integrity, and excellence. Our employees share a common vision of proudly working together to build a stronger province and make a positive and lasting difference in the lives of Albertans.
The people of Alberta enjoy a very high quality of life, including the lowest overall taxes in Canada.
www.jobs.alberta.ca
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Offices: Public Service Commission, Edmonton, Alberta T5J 2N2, CA
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