Senior ERP Consultant leading ERP implementations for fuel, gas, logistics, and retail businesses. Delivering functional and technical consulting remotely from Western Canada.
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
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