Data Analyst II - Remote

Overview

Data Analyst II - REMOTE

In Short

• Conduct thorough evaluations and advanced analyses of potential fraud cases.
• Leverage claims information and multiple data sources for analysis.
• Support in developing complex, high-value cases for law enforcement referral.
• Perform comprehensive analysis of healthcare claims data.
• Collaborate with management and investigators for case development.
• Apply data mining and statistical modeling techniques.
• Communicate analytical insights to stakeholders and law enforcement.
• Ensure documentation integrity and confidentiality.
• Adhere to documentation standards and reporting procedures.
• Participate in training sessions on fraud detection.

Requirements

• Bachelor’s or Master’s degree in Mathematics, Statistics, or related field.
• 2 years’ experience analyzing Medicare and/or Medicaid data.
• 2 years’ experience in SQL and Python.
• Knowledge of SAS, Databricks, Snowflake, or Spark.
• Experience with data visualization tools like Tableau or Power BI.
• Strong understanding of healthcare claims and billing practices.
• Exceptional organizational and communication skills.

Benefits

• Medical, Dental, Vision plans.
• Life, LTD and STD paid by the employer.
• 401(k) with company match up to 4%.
• Paid Time Off and company paid holidays.
• Tuition assistance after 1 year of service.