Senior Investigation Analyst, Investigation Services Unit

About Manitoba Blue Cross

We're a Manitoba-based, not-for-profit, health benefits provider with a vision to be the trusted and essential health and wellness partner for all Manitobans. Every dollar made is reinvested in our infrastructure, our people, and our province with the goal of providing better care for our members, expanding our community impact and broadening our health care knowledge.

Why work for us?

Manitoba Blue Cross, is a
Manitoba
Top Employer.
We are empowered to give back to the community, and we know that caring needs to start in our workplace with our own Manitoba Blue Cross team. We actively foster a culture that focuses on your
satisfaction, development, diversity, and growth
.

Culture of Caring

We strive to succeed at reaching our organizational goals, but we always make time to celebrate our successes. Having fun as a group and rewarding our employees for their accomplishments is an essential part of our workplace culture.

We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace. We offer a work environment that promotes a healthy work-life balance and support to advance your career that includes:

• Competitive starting salary.
• A comprehensive health benefit package.
• Hybrid work environment, flexible work schedules.
• Fully equipped onsite fitness center.
• Casual dress code to promote diversity and inclusivity.
• Personal and professional development.

Are you a
driven
,
dedicated
, and
enthusiastic
individual who wants to work in a friendly and rewarding environment? If so, we are looking for someone like you The following position is open to anyone residing in
Winnipeg and surrounding areas
with valid work authorization.

POSITION SUMMARY

The Senior Investigation Services Unit (ISU) Analyst uses statistical methods to detect anomalies, patterns, and trends indicating fraud, abuse, or waste among members and providers. The incumbent analyzes transactions, investigates suspicious activity for the ISU Audit Team, supports risk management processes, and develops fraud detection tools and workflows.

KEY DUTIES AND RESPONSIBILITIES

Analysis and Reporting

• Performs claims analyses to ensure compliance with agreements, contracts, legislation and industry standards. Analyzes trends within the insurance industry and reports them to departmental leaders.
• Prepares and analyzes internal and external data utilizing Excel and PowerBI to identify trends, patterns, concerns, and vulnerabilities. Conducts scheduled reviews of benefits, providers, and members to look for trends, patterns, concerns, and vulnerabilities.
• Responsible for conducting risk assessments to prioritize reports of suspicious activities that warrant further investigation by the ISU Auditors.
• Communicates risks to the Corporate Compliance Manager and organizes work to meet production goals efficiently. Prepares reports, audit listings, and recommendations for ISU Auditors and Compliance Manager.
• Supports the Canadian Life and Health Insurance Joint Provider Fraud Investigation and Provider Alert Registry initiatives.

Research and Development

• Maintains tracking, reports progress, evaluates effectiveness, resolves issues, and refines workflows. Develops algorithms and reports to improve fraud and abuse monitoring amid industry changes. Identifies inefficiencies and collaborates on solutions.
• Assists team members in managing department efficiency, offers process improvements, and shares resources and knowledge to meet departmental goals.
• Establishes, monitors, and analyzes the effectiveness of auditing rules and thresholds within internal systems.
• Remains informed and responds to changes in the industry as it relates to advances and techniques in Healthcare Fraud processes.

Business Operations

• Responsible for coordinating and compiling reports, analytics and information dashboards for Leadership providing key information and explicitly identifying key decisions as required.
• Maintains and ensures procedure manuals are current and relevant. Ensures adherence to confidentiality guidelines. Develops and maintains a high level of knowledge in all aspects of department requirements
• Aligns and supports strategic and operational goals at departmental and corporate levels, serving as a subject matter expert for clients. Facilitates team efforts to meet organizational objectives and represents the department on committees and initiatives.
• Conducts presentations, information sessions and Q&A sessions on subject matter expert knowledge to internal and external stakeholders.
• Initiates personal and professional development as may be required to remain effective in this position.

Qualifications and SKILLS

• Dedicated to the principles of exceptional service; committed to responding to, anticipating, and addressing customer needs, for both internal and external customers.
• Self-directed with exceptional organizational skills, able to prioritize tasks on an on-going basis. Proficient in MS Word, Excel, PowerBI and Outlook. Able to learn new systems, including Jira and Confluence.
• Strong analytical and problem-solving skills. Ability to research, analyse, provide options and make recommendations. Knowledge of the principles and practices of quantitative analysis including cost benefit analysis, statistical analysis, etc.
• Strong verbal and written communication skills, with experience in facilitating collaboration among cross-functional teams and stakeholder engagement. Experienced in delivering presentations to diverse audiences.
• Proven leadership, coaching and team building skills. Able to set and follow through on clear, long-term goals and take accountability for all aspects of the role. Able to adapt to new environments quickly with little guidance. Aptitude for learning and development initiatives.
• Experience in insurance or health related industry, knowledge of medical terminology, and/or Working knowledge of MB Blue Cross business areas, processes, products, solutions, and project methodology is an asset.
• Post-secondary degree in business, science or related field. Insurance industry certifications (e.g., LOMA) are a plus.
• Minimum of 2 to 5 years' experience in data analytics.

Ready to Apply? We are excited to meet you

If you would like to join our team, you are invited to apply by submitting your resume and cover letter by clicking the "Apply" button below by January 19, 2026.

To learn more visit:

We appreciate the interest expressed by all applicants and acknowledge the effort put into the application process, however only those selected for an interview will be contacted.

Manitoba Blue Cross is committed to the principles of diversity, equity & inclusion and to promoting opportunities in hiring for everyone. We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace.

We encourage all qualified candidates to apply.
If you require an accommodation during the hiring process, please let us know.