Compliance Analyst

2 weeks ago

Edmonton, Canada Government of Alberta Full time

**Job Information**:
Job Requisition ID: 43711

Ministry: Health

Location: ATB Place North, 24th Floor 10025 Jasper Ave, Edmonton AB T5J 1S6

Full or Part-Time: Full Time

Hours of Work: 36.25 hours per week

Regular/Temporary: Temporary until February 23, 2026

Scope: Open Competition

Closing Date: June 15, 2023

Classification: Program Services 3

**About Us**:
The Ministry of Health leads work in the areas of Alberta health insurance and benefits, doctors, hospitals and facilities, and other healthcare supports and information. For more information on the work Alberta Health does, visit this link:
This position is with the Audit and Compliance Assurance Unit of the Health Protection Branch, which is in the Public Health Division. The Audit and Compliance Assurance Unit provides compliance, monitoring and performance oversight to improve quality and accountability of health practitioners’ claims for benefits under the Alberta Health Care Insurance Plan.

**Role**:
Reporting to the Manager, Data Analytics & Monitoring, the Compliance Analyst is responsible for extracting and analyzing Alberta Health Fee-for-Service claims data in order to derive actionable information about 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 documentation in support of the analytic findings and interpretation.

Key Responsibilities Include:

- Using data analytic tools to extract claims data from the Alberta Health Data Warehouse for the purpose of identifying, assessing, and prioritizing areas of non-compliance that exist within the Alberta Health Care practitioner payment systems.
- Prepare comprehensive reports to support the audit and compliance review work within the unit as well as unit and branch reporting.
- Work with interdisciplinary teams to conduct audits and compliance reviews.

**Qualifications**:
University degree required. Majors in Science, Technology, Engineering, Mathematics, or Statistics are preferred. Alternates accepted when supplemented by experience in data analysis and working with databases. A minimum of two (2) years related experience is required.

Other requirements include:
Experience working with relational databases and datasets.
Experience analyzing data and presenting findings in a comprehensive and coherent manner.

Preferences will be given to those with:
Programming Experience, especially those with SAS (Classic or Enterprise Guide), SQL (Structured Query Language), R and/or Python experience.

The following are considered assets:
Experience with medical claims data.
Experience with data mining.
Experience with data visualization.
Experience with medical terminology.
Experience working in an audit/compliance environment.
Familiarity with the Alberta Health Care Insurance Act, Schedule of Medical Benefits, Health Information Act, and/or Claims for Benefits Regulation.

Equivalencies may be considered on the basis of:
1 years of education for 1 year of experience; or
1 year of experience for 1 year education.

**APS Competencies**:
Competencies are behaviors 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.

This link will assist you with understanding competencies:
**System Thinking**: Considers inter-relationships and emerging trends to attain goals:

- Seeks insight on implications of different options;
- Analyzes long-term outcomes, focus on goals and values; and
- Identifies unintended consequences.

**Agility**: Work in a changing environment and takes initiative to change:

- Takes opportunities to improve work processes;
- Anticipates and adjusts behavior to change;
- Remains optimistic, calm and composed in stressful situations;
- Seeks advice and support to change appropriately; and
- Works creatively within guidelines.

**Creative Problem Solving**: Works in open teams to share ideas and process issues:

- Uses wide range of techniques to break down problems;
- Allows others to think creatively and voice ideas;
- Brings the right people together to solve issues; and
- Identifies new solutions for the organization.

**Drive for Results**: Works to exceed goals and partner with others to achieve objectives:

- Plans based on past experience;
- Holds self and others responsible for results;
- Partners with groups to achieve outcomes; and
- Aims to exceed expectations.

**Build Collaborative Environments**: Facilitates open communication and leverages team skills:

- Leverages skills and knowledge of others;
- Genuinely values and learns from others;
- Facilitates

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