If you’re working remotely in Canada as a healthcare professional — for example, a radiologist using tools like the TRIADS calculator for
diagnostic purposes — you may still be eligible for the Canadian Experience Class (CEC) under Express Entry, even if your employer is based in the U.S. and doesn’t have a Canadian office. What matters for CEC eligibility is that your skilled work was physically performed within Canada, was authorized, and falls under a qualifying NOC TEER 0, 1, 2, or 3 category. While your T4 indicating “province: outside Canada” might seem unusual, it doesn’t automatically disqualify you. As long as you can provide clear evidence that you were living and working in Canada — such as lease agreements, utility bills, CRA tax filings, and pay stubs — your application can still be considered valid. In situations like this, where the employer’s location and payroll setup add complexity, it’s a good idea to consult an immigration professional to ensure your documentation supports your claim effectively.