Program Compliance Analyst

The Federal Public Service Health Care Plan Administration Authority (referred to as the PSHCP Administration Authority) is the corporation charged with the administration of the Public Service Health Care Plan (PSHCP). The PSHCP is a private health care benefit program sponsored by the Government of Canada, for public servants and other members of the federal public administration, parliamentarians, federal judges, pensioners, and dependants, as well as members of the Canadian Forces and the RCMP, who may cover their dependants. In addition, coverage is provided to those receiving a pension based on service in one of these categories. It also covers employees of a number of government agencies as well as their eligible dependants and, in some cases, pensioners of these agencies. The PSHCP currently offers coverage to over 1.5 million participants.

The PSHCP Administration Authority ensures that benefits and services to plan members and their covered dependants are delivered in a manner that ensures the effective and efficient administration of the Plan. The PSHCP Administration Authority’s mandate includes monitoring the performance and compliance of the Plan Administrator (Sun Life Financial), considering appeals from plan members and communicating with the membership.

Key Responsibilities

  • Evaluate the results of the various PSHCP audit program components with appropriate consideration of relevance and accuracy and formulate conclusions against accumulated audit evidence
  • Perform continuous and holistic analysis of the audit results
  • Generate monthly, quarterly, annual and ad hoc reporting regarding audit results and key performance indicators for internal and external stakeholders
  • Collaborate and contribute to the development of an annual audit plan and overall framework
  • Analyse compliance deficiencies and oversee the resolution of those issues to ensure compliance and quality assurance of processes and practices
  • Prepare briefings and reports on sensitive and complex areas (fraud)
  • Assess audit responses to determine appropriateness and plans for follow-up audits as required
  • Identify risk factors and risk areas regarding health plan administration and compliance through on-going audit activities
  • Prepare written reports of audit results related to health benefits and present findings

Qualifications

  • University education in Commerce, Business, finance or a related discipline
  • Experience in the areas of program compliance/evaluation, auditing/financial risk, or quality assurance/quality control or risk assessment or program auditing
  • Ability to work in a team environment and develop working relationships with various stakeholders
  • Experience in preparing complex reports and in briefing senior officials
  • Flexible and willing to take on new projects as required
  • Experience in developing plans and strategies to enhance program delivery and administration
  • Excellent ability to analyse complex and multi-faceted issues, to develop recommendations and communicate conclusions including risks and implications
  • Detail oriented with excellent communication skills
  • Advanced Microsoft Excel skills required
  • Experience with Microsoft Access and/or statistical database applications would be an asset
  • Knowledge of the health care field and/or employee benefit programs would be an asset
  • Proficiency in both official languages would be an asset

Interested candidates should send a resume and cover letter to hr@pshcp.ca.