Funding Consultant guiding small business owners through credit repair, optimization, and partner - bank financing. Delivering consulting expertise, client accountability, and measurable funding outcomes.
About the role
- LTC Fraud Consultant analyzing claims and billing data for Manulife’s fraud, waste, and abuse program. Supporting investigations, controls, dashboards, and detection improvements.
Responsibilities
- Lead targeted customer outreach explaining updated claim reimbursement controls
- Drive adoption, understanding, and compliance with reimbursement controls
- Analyze LTC claims and provider billing patterns to identify potential fraud, waste, and abuse
- Prepare data extracts, dashboards, and concise analytic summaries for case development and investigations
- Monitor and communicate emerging fraud schemes
- Help design mitigations, controls, and process improvements
- Partner with investigators, clinical teams, and technology teams to improve fraud operations and detection capabilities
- Gather and document business needs, requirements, user stories, and process flows for fraud detection and case management tool enhancements
- Support performance monitoring and reporting for the LTC FWA program
- Contribute to continuous improvement across fraud operations
Requirements
- 3–5 years of experience in Long-Term Care (LTC), healthcare/insurance business analysis, and/or Fraud, Waste & Abuse (FWA)
- Strong analytical and critical-thinking skills
- Ability to interpret complex claims and operational data
- Ability to translate findings into business requirements, user stories, and process flows
- Advanced Excel skills and comfort with large datasets
- Clear written and verbal communication skills
- Ability to work with technical and non-technical stakeholders while managing multiple priorities
- Experience with fraud investigations/SIU preferred
- Familiarity with Medicaid and/or commercial LTC benefits and fraud/case management tools preferred
- Familiarity with SQL/SAS and/or BI tools such as Power BI/Tableau is a plus
Benefits
- Flexible work environment
- Health insurance
- Dental insurance
- Mental health benefits
- Vision insurance
- Short- and long-term disability insurance
- Life and AD&D insurance
- Adoption/surrogacy benefits
- Wellness benefits
- Employee/family assistance plans
- Retirement savings plans
- Pension
- Global share ownership plan with employer matching contributions
- Financial education and counseling resources
- Paid holidays, vacation, personal, and sick days in Canada
- Statutory leaves of absence
- Incentive programs and incentive compensation tied to business and individual performance
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Tech skills
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Senior mine water practice lead advising mining clients on water balance, hydrologic analyses, and management strategies. Leading multidisciplinary projects and technical consulting for Barr’s engineering practice.
RBC Group Consultant selling workplace retirement savings and financial wellness programs across Québec. Acquiring business sponsors and members through bilingual English - French sales and advice.
Remote client development consultant building relationships and generating enquiries for an international online education organisation. Independent, flexible, performance - based work for Canadian professionals.
Workday Benefits Consultant configuring HCM solutions and supporting client Workday environments at Kognitiv. Advising clients on requirements, best practices, testing, and system enhancements.
IT consultant supporting Microsoft, Azure, network, and end - user infrastructure for Managed IT Services clients across Halifax Regional Municipality. Balancing on - site client support with Dartmouth office work.
Alternative Dispute Resolution Consultant resolving complex accident benefit claims for TD Insurance. Managing disputes, reserves, coverage, and catastrophic injury claims across Canadian operations.
Parts Consultant supporting agricultural equipment customers and technicians at Premier Equipment, Ontario’s John Deere dealership. Managing parts sales, inventory, ordering, and customer service.
Senior Consultant leading performance reviews, talent management, and succession planning at LifeLabs. Improving talent systems and leadership development for a Canadian healthcare organization.
Senior ERP Consultant delivering ERP implementations for fuel, gas, logistics, and retail clients. Improving processes, integrating systems, and supporting enterprise software remotely across Western Canada.