Alternate Funding Program, Claims Analyst

4 days ago

Halifax Regional Municipality, Canada Medavie Blue Cross Full time

Press Tab to Move to Skip to Content Link

Select how often (in days) to receive an alert:

Select how often (in days) to receive an alert:

Alternate Funding Program, Claims Analyst - Part-Time Permanent

Location: Dartmouth, Nova Scotia, CA, B3J 3C6 Nova Scotia, CA

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company. 
 
Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.
 
Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.

Job Title: Alternate Funding Program, Claims Analyst - Part-Time Permanent

Department: Government Programs: Nova Scotia Provincial Programs

Competition: 87189

Internal/External: Both

Employment Type: Part Time Permanent

Location: Nova Scotia, Remote/Office/Hybrid - Flexible 

Salary: Competitive Compensation and Benefits 

Reports To: Team Leader, Medicare Programs NSPP

Apply By: July 14, 2024

Position Summary

Reporting to the Team Leader and working in a team environment, the Alternate Funding Claims Analyst is responsible for a wide variety of claim types under the Alternate Funding Program. Each claim type has a varying degree of eligibility and policy requirements. The Claims Analyst will analyze, investigate and pay claims which include the payment of locum, sessional, psychiatry and various other claims on an ad hoc basis. The claims analyst is required to maintain current knowledge with respect to policy and procedure changes. The claims analyst will liaise closely with the Department of Health and Wellness, physicians, colleagues, the Team Leader and the Manager on claims as they pertain to the Alternate Funding Program.

This position is permanent, part-time 25 hours per week, which will be 5 hours per day, Monday – Friday. Flexible within our core business hours of 8am-5pm Atlantic Time.
Remote work ( from home) within the province of Nova Scotia, or the option to work in-office in Dartmouth, or a hybrid of from home and office.

Key Responsibilities

• Review, analyse and set up payment data based on contracts forwarded from the Department of Health & Wellness.
• Maintain and reconcile contract payments to physicians using standard procedures.
• Adjudicate and apply data entry functions for all alternate funding programs and billings from physicians with a strong emphasis on accuracy and efficiency.
• Review applications from the Boarding, Transportation and Ostomy Program as well as the Locum Program to determine eligibility
• Respond to customer enquiries in a prompt, courteous and professional manner.
• Meet payment deadlines as determined by the business area
• Liaise with the Department of Health and Wellness and physicians in a professional manner with respect to claims submissions and payment reconciliations.
• Establish and maintain effective working relationships with other internal operational areas


Required Qualifications

Education: Post-secondary education in Business Administration, Accounting, Finance or other related field.
Work Experience: Minimum 2 - 3 years of relevant experience paying complex claims relating to healthcare, OR Payroll / Finance experience is a strong asset

Other Qualifications:

Able to adapt in a changing and fast paced environment with the ability to accept and implement changes; able to work independently. Possess a high attention to detail and a high level of accuracy; analytical in nature and have proven problem solving skills with an aptitude for mathematics.

Computer Skills: Strong computer skills and experience working with the Microsoft Office Suite; strong key boarding skills and the ability to enter data with speed and precision.
Language Skills: Bilingualism is considered an asset, English required.

We are an Equal Opportunity Employer. 

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.

#J-18808-Ljbffr

  • Program Manager, Alternative Funding

    6 days ago

    Halifax, Canada Government of Nova Scotia Full time

    **Competition #**: 42738 **Department**: Health and Wellness **Location**: HALIFAX **Type of Employment**: Permanent **Union Status**: Exclusion - Non Union - NSPG **Closing Date**: 15-May-24 (Applications are accepted until 11:59 PM Atlantic Time) About Us The Department of Health and Wellness offers opportunities to grow and advance in a dynamic...

  • Program Manager, Alternative Funding

    6 days ago

    Halifax, Canada Province of Nova Scotia Full time

    **Department**:Health and Wellness **Location**:HALIFAX **Type of Employment**:Permanent **Union Status**:Exclusion - Non Union - NSPG **Closing Date**:15-May-24 (Applications are accepted until 11:59 PM Atlantic Time) **About Us**: The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives...

  • Program Manager, Alternative Funding

    2 weeks ago

    Halifax, Nova Scotia, Canada Province of Nova Scotia Full time

    Department:Health and WellnessLocation:HALIFAXType of Employment:PermanentUnion Status:Exclusion - Non Union - NSPGClosing Date:15-May-24 (Applications are accepted until 11:59 PM Atlantic Time)About Us:The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova Scotians. Along with...

  • Program Manager, Alternative Funding

    2 weeks ago

    Halifax, Nova Scotia, Canada Government of Nova Scotia Full time

    Competition #: 42738Department: Health and WellnessLocation:HALIFAXType of Employment: PermanentUnion Status: Exclusion - Non Union - NSPGClosing Date: 15-May-24 (Applications are accepted until 11:59 PM Atlantic Time)About UsThe Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova...

  • Sr. Claims Adjudicator

    4 days ago

    Halifax, Canada People Corporation Full time

    This position is 100% in-officeHours: 8:30am - 4:30pm Monday to FridayWe are seeking a Sr. Claims Adjudicator to join our BPA team in Halifax. The Sr. Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients’ Benefit Trust Funds. He or she provides courteous and...

  • Sr. Claims Adjudicator

    6 days ago

    Halifax, Canada People Corporation Full time

    This position is 100% in-officeHours: 8:30am - 4:30pm Monday to FridayWe are seeking a Sr. Claims Adjudicator to join our BPA team in Halifax. The Sr. Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients’ Benefit Trust Funds. He or she provides courteous and...

  • Sr. Claims Adjudicator

    4 days ago

    Halifax, Canada People Corporation Full time

    This position is 100% on-site.Hours: 8:30am - 4:30pm Monday to Friday.We are seeking a Sr. Claims Adjudicator to join our BPA team in Halifax. The Sr. Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients’ Benefit Trust Funds. He or she provides courteous and...

  • Sr. Claims Adjudicator

    4 days ago

    Halifax, Canada People Corporation Full time

    This position is 100% on-site.Hours: 8:30am - 4:30pm Monday to Friday.We are seeking a Sr. Claims Adjudicator to join our BPA team in Halifax. The Sr. Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients’ Benefit Trust Funds. He or she provides courteous and...

  • Manager, Fund Accounting

    4 weeks ago

    Halifax Regional Municipality, Canada SS&C Technologies Holdings Full time

    Job Description Manager, Fund AccountingLocation(s): Halifax, Nova Scotia at 36 Solutions DriveGet To Know The Team:At SS&C Technologies, collaboration is our superpower. By leveraging each other’s strengths and curiosity, we’ve been able to build best-in-class products, culture, and business.Why You Will Love It Here!Flexibility: Hybrid Work Model & a...

  • Academic Funding Plan

    3 weeks ago

    Halifax, Canada Province of Nova Scotia Full time

    **Department**:Health and Wellness **Location**:HALIFAX **Type of Employment**:Permanent **Union Status**:NSGEU - NSPG **Closing Date**:07-Mar-24 (Applications are accepted until 11:59 PM Atlantic Time) **About Us**: The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova...

  • Program Administration Officer 3

    1 week ago

    Halifax, Canada Province of Nova Scotia Full time

    **Department**:Health and Wellness **Location**:HALIFAX **Type of Employment**:Permanent **Union Status**:NSGEU - NSPG **Closing Date**:28-Nov-23 (Applications are accepted until 11:59 PM Atlantic Time) **About Us**: The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova...

  • SAP Business Analyst

    2 days ago

    Halifax Regional Municipality, Canada TEEMA Full time

    SAP Business Analyst9-month contract-2 days onsite per week is required/Halifax, Nova ScotiaMust Haves:Minimum of 5 years experience in SAP project delivery and/or a minimum 5 years of experience as an SAP business analyst. Experience working in an agile IT project environment. Knowledge of integration points in the SAP ecosystem Good knowledge of the...

  • Manager, Fund Accounting

    2 weeks ago

    Halifax, Canada Citco Full time

    **About Citco** Citco is a global leader in fund services, corporate governance and related asset services with staff across 50 office locations worldwide. With more than $1.8 trillion in assets under administration, we deliver end-to-end solutions and exceptional service to meet our clients’ needs. **About the Team & Business Line**: Fund Administration...

  • Sr. Claims Adjudicator

    2 weeks ago

    Halifax, Nova Scotia, Canada People Corporation Full time

    Job Description This position is 100% in-office Hours: 8:30am - 4:30pm Monday to Friday We are seeking a Sr. Claims Adjudicator to join our BPA team in Halifax. The Sr. Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds. He or she...

  • Sr. Claims Adjudicator

    4 weeks ago

    Halifax, Canada People Corporation Full time

    Job Description This position is 100% in-office Hours: 8:30am - 4:30pm Monday to Friday We are seeking a Sr. Claims Adjudicator to join our BPA team in Halifax. The Sr. Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients’ Benefit Trust Funds. He or she...

  • Assistant Director, Research Programs

    4 weeks ago

    Halifax Regional Municipality, Canada Dalhousie University Full time

    Job Summary Dalhousie University is a member of the U-15, Canada’s group of top 15 research-intensive universities. Under the leadership of the Vice-President Research & Innovation, Dalhousie administers over $200M annually in research funding. Reporting to the Director, Strategic Initiatives and Programs, the Assistant Director, Research Programs retains...

  • Medical Consultant

    4 weeks ago

    Halifax Regional Municipality, Canada Medavie Blue Cross Full time

    Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Location: Dartmouth, Nova Scotia, CA, B3J 3C6 Nova Scotia, CA For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest...

  • Coordinator, Grants and Funding Agreements

    4 weeks ago

    Halifax, Canada Province of Nova Scotia Full time

    **Department**:Education & Early Childhood Development **Location**:HALIFAX **Type of Employment**:Term **Union Status**:NSGEU - NSPG **Closing Date**:6/21/2023 (Applications are accepted until 11:59 PM Atlantic Time) **About Us**: The Department of Education and Early Childhood Development is leading the transformation of early learning and child -...

  • Fund Accounting Manager

    3 weeks ago

    Halifax, Canada MUFG Investor Services Full time

    Company Description **MUFG Investor Services - Our Culture and People** We are a progressive, innovative, fast paced company that places a high value on our employee's well-being, continuous development, and nurturing a sense of belonging. We promote a diverse, honest, and open culture where all employees feel included and can be their authentic self....

  • Claims Representative Ii

    3 weeks ago

    Halifax, Canada The Co-operators Full time

    **Position Overview**: **Company**:CGIC **Number of Positions**: 1 **Language**: Bilingualism in English and French is an asset. **Work Model**:Hybrid **Alternate Title**: n/a **Additional Information**: The work location for this role is flexible to Halifax, Moncton, St. John's. **The Opportunity**: We are a leading Canadian financial services...