Team Lead Post-Payment Verification

Role Responsibilities

The successful candidate will be responsible for supporting key operational and strategic objectives by planning, coordinating, and executing assigned activities. They will collaborate with internal and external stakeholders, provide subject matter expertise, ensure compliance with organizational policies and procedures, and contribute to continuous process improvements. The role requires strong communication, problem-solving, and organizational skills, with a focus on delivering high-quality results, meeting deadlines, and supporting team and business goals.

This position focuses on completing work in the following core areas:

• Lead and support pre-payment quality assurance and post-payment verification reviews by assessing provider documentation, claim records, payment information, and related evidence to determine the accuracy of submitted claims and issued payments.
• Investigation and resolution of complex customer service inquiries and technical issues related to claim, claim payments, claim advance and child registration.
• Recommending enhancements to the information system and coordinating testing plan and activities for the system.
• Coordinating, monitoring and reporting on the recovery activities.
• Providing input on and drafting policy and training products aimed at both internal and external audiences, and
• Supervision of claim payment coordinators, as assigned by the Program Consultant-Claims, from time to time.

Other Key Responsibilities Include: 

1.    Support Childcare Providers
2.    Ensures Payment Accuracy
3.    Coordinate and Monitor Grant Funding Recoveries
4.    Supports Information System Functionality
5.    Cross Divisional Involvement
6.    Supervision of Claim Payment Coordinators
7.    Managing Key Relationships

Please click on this link to view the job description for this position.

APS Competencies

Creative Problem Solving:
Focuses on continuous improvement and increasing breadth of insight

Agility:
Works in a changing environment and takes initiative to change

Systems Thinking:
Considers inter-relationships and emerging trends to attain goals

This link will assist you with understanding competencies.

Qualifications

A high school diploma and a minimum of two years of progressively responsible experience in one or more of the following areas:

• Financial administration
• Audit, compliance, or quality assurance activities
• Claims processing or payment verification
• Grant administration
• Program delivery or program administration
• Investigations and risk assessment
• Customer service in a complex operational environment

Equivalencies will be considered on the basis of:

• One year of related experience for one year of education; or
• One year of related education for one year of experience.

Assets:

• Experience leading, supervising, coaching, or mentoring staff.
• Experience conducting post-payment verification, audits, quality assurance reviews, or compliance assessments.
• Experience investigating payment discrepancies, overpayments, or potential fraud concerns.
• Experience working with grant-funded programs, public sector administration, or government financial processes.
• Advanced experience using Microsoft Excel, including data analysis, reconciliation, and reporting functions.
• Experience working with Sharepoint Online as both a working space and records repository
• Experience preparing reports and recommendations for management decision-making.
• Experience implementing process improvements or participating in system enhancement and testing initiatives.
• Strong communication, leadership, stakeholder engagement, conflict resolution, and problem-solving skills.

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

Notes

This is 1 full-time permanent position working 36.25 hours per week, Monday to Friday.

This position is based in Edmonton.

A cover letter is mandatory and will be used as part of the assessment process.

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:

• Working for the Alberta Public Service
• Public Service Pension Plan (PSPP)
• Alberta Public Service Benefit Information
• Professional learning and development
• Research Alberta Public Service Careers tool
• Positive workplace culture and work-life balance