Compliance Analyst

Government of Alberta; Edmonton; On-site; CAD 77,000 - 100,000; Full time

Benefits offered by this job

Positive workplace culture and work‑l–

Job summary

Government of Alberta–Primary and Preventative Health Services in Edmonton seeks a Compliance Analyst to extract and analyze claims data to detect fraud, waste, abuse and non-compliance within Alberta Health Care Insurance Plan.

You will develop queries, dashboards, and reports; interpret regulations; and collaborate with auditors, clinicians, and internal teams to size risks and implement improvements. This is a permanent full-time role in Edmonton.

Qualifications

• Experience extracting, querying, manipulating, validating, and reporting on large data sets.
• Ability to apply data analysis, statistics, and risk assessment to identify trends and risks.
• Ability to interpret legislation, policies, and rules for non-technical audiences.

Responsibilities

• Identify non-compliance, fraud, waste, or abuse using data analytics and risk assessment.
• Extract, query, manipulate, validate, analyze, and report on large health data sets.
• Develop queries, analyses, dashboards, and reports to detect anomalies and monitor trends.
• Collaborate with auditors, clinicians, managers, and partners to scope and size issues.
• Prepare clear summaries and recommendations translating technical findings for diverse audiences.
• Apply legislation and policy knowledge to support sound analysis and decision-making.
• Support proactive risk management and process improvements to reduce improper payments.
• Coordinate with BI teams, application support, and external providers to resolve data issues.

Skills

Creative Problem Solving

Systems Thinking

Drive for Results

Agility

Build Collaborative Environments

Education

University degree in a related field

Tools

SAS

SQL

Python

R

Tableau/Power BI

Snowflake

Job description

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Job Information
Job Title: Compliance Analyst
Job Requisition ID: 87076
Ministry: Primary and Preventative Health Services
Location: Edmonton
Full or Part-Time: Full Time
Hours of Work: 36.25 hours per week
Permanent/Temporary/Wage: Permanent
Scope: Open Competition
Closing Date: September 17, 2026
Classification: Program Services 3 (023PSA)
Salary: $2,935.39 to $3,850.29 bi-weekly ($76,613 to $100,492/year)

The Alberta Public Service works to build a stronger province for current and future generations. We make a difference in the lives of Albertans through rewarding and diverse career opportunities.

The Department of Primary and Preventative Health Services provides leadership for Alberta’s publicly funded primary and preventative health system, including oversight of health practitioner claims, benefit programs, and health system accountability. Within the Financial Reporting Branch, the Audit and Compliance Assurance Unit supports compliance, monitoring, and performance oversight to help safeguard public funds and improve accountability under the Alberta Health Care Insurance Plan.

For further information, visit the ministry website https://www.alberta.ca/primary-and-preventative-health-services

Reporting to the Manager, Data Analytics & Monitoring, the Compliance Analyst is responsible for extracting and analyzing Primary and Preventative Health Services Fee-for-Service claims data in order to derive actionable information about potential fraud, waste, abuse or other 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 correspondence documentation in support of the analytic findings and interpretation.

Key Responsibilities:

• Identify, assess, and prioritize potential areas of non-compliance, fraud, waste, or abuse within practitioner payment systems using data analytics, risk assessment, and business knowledge.
• Extract, query, manipulate, validate, analyze, and report on large health data sets, including Alberta Health Care Insurance Plan claims data, to support audit and compliance review work.
• Develop queries, analyses, reports, dashboards, and other analytic products to detect anomalies, monitor claiming trends, support triage decisions, and recommend next steps.
• Work with interdisciplinary teams, including auditors, clinical advisors, managers, and internal partners, to conduct audits and compliance reviews and determine the scope and magnitude of potential non-compliance.
• Prepare clear summaries, detailed reports, briefing materials, case-specific analyses, and recommendations that translate highly technical findings into plain language for technical and non-technical audiences.
• Apply knowledge of applicable legislation, regulations, the Schedule of Medical Benefits, claims assessment rules, privacy requirements, and health system context to support sound analysis and decision-making.
• Contribute to proactive risk management, stakeholder education, process improvements, policy enhancements, and system controls to reduce future non-compliance and inappropriate payments.
• Collaborate with internal stakeholders, the Business Intelligence Environment team, application support areas, and external service providers to resolve data quality, reporting, and system issues.

Competencies are behaviours 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.

• Creative Problem Solving: Applies critical thinking, business knowledge, and analytic skills to uncover existing and emerging patterns of non-compliance, fraud, waste, or abuse. Engages colleagues and subject matter experts to generate solutions and address complex risks.
• Systems Thinking: Considers how provider payments, claims assessment rules, legislation, data systems, and health system trends are interconnected. Identifies unintended consequences, gaps, and system-level risks that may affect compliance and public funds.
• Drive for Results: Works independently with minimal supervision, manages competing priorities, and produces accurate, high-quality analyses, reports, and recommendations to support audits, compliance reviews, and operational decision-making.
• Agility: Adapts to changing information, emerging risks, new data sources, evolving compensation models, and system updates while maintaining composure, accuracy, and sound judgment.
• Build Collaborative Environments: Shares knowledge, values diverse expertise, and collaborates respectfully with auditors, clinical advisors, analysts, program areas, system partners, and vendors to support consistent, informed compliance work.

Qualifications

• University graduation in a related field, preferably with a focus in science, technology, engineering, mathematics, data analytics, statistics, health administration, business administration, public administration, or another related discipline, plus 2 years of progressively responsible related experience; or equivalent as described below.

Equivalencies:

• 1 year of education for 1 year of experience; OR
• 1 year of experience for 1 year of education.

Preferred Experience for Compliance Analyst:

• Experience extracting, querying, manipulating, validating, analyzing, and reporting on large data sets using database concepts and analytic tools.
• Experience using SAS, SQL, R, or Python to query, extract, manipulate, and analyze data from a relational or cloud data warehouse.
• Experience with Snowflake or a comparable cloud data platform is an asset.
• Experience with SAS Visual Analytics, R Shiny, Tableau, Power BI, or similar visualization tools.
• Experience applying data analysis, statistics, risk assessment, or data mining approaches to identify trends, anomalies, outliers, or compliance risks.
• Knowledge of health claims data, medical terminology, claims processes, fraud, waste, and abuse principles, control frameworks, or public-sector compliance/audit activities.
• Ability to interpret legislation, policies, procedures, business rules, or assessment rules and communicate complex technical findings clearly to non-technical audiences.

Minimum recruitment standards outline the minimum education and experience required for appointment to a job classification.

Notes

• Hours of Work: Monday to Friday, 8:15 AM - 4:30 PM.
• Locations: Edmonton, Alberta
• 36.25 hours per week

Any costs associated with obtaining the required documents/checks as noted or interview travel expenses will be the responsibility of the candidate. Out-of-province applicants can obtain the required documents/checks from the province they currently reside in.

Links and information on what we have to offer:

• Positive workplace culture and work-life balance.

Closing Statement

This competition may be used to fill future vacancies, across the Government of Alberta, at the same or lower classification level.

We thank all applicants for their interest. All applications will be reviewed to determine which candidates' qualifications most closely match the advertised requirements. Only individuals selected for interviews will be contacted.

If you require any further information on this job posting or require an accommodation during the recruitment process, please contact Krista Lammie at [e-mail]