Data Analyst - Medicare Part C Claims - Remote

Overview

We are seeking a detail-oriented and analytical Data Analyst with experience in Medicare Part C data to join our team. The successful candidate will be responsible for collecting, processing, and analyzing healthcare data to support the Centers for Medicare & Medicaid Services (CMS) in detecting and preventing fraud, waste, and abuse (FWA) within the Medicare Advantage (Part C) program.

In Short

• Collects, manages, and analyzes data from various sources.
• Ensures data quality and integrity through validation processes.
• Performs detailed data analysis to identify trends and insights.
• Develops algorithms and models to detect potential FWA activities.
• Creates dashboards and reports to summarize key findings.
• Collaborates with cross-functional teams for data-driven decision-making.
• Ensures compliance with data privacy and security regulations.
• Provides technical support and training on data analysis tools.
• Documents methodologies and findings clearly.
• Works independently and collaboratively in a team environment.

Requirements

• Bachelor’s degree in Data Science, Statistics, or related field.
• Minimum of 2 years of experience in data analysis.
• Experience with Medicare Part C data.
• Proficiency in SQL, Python, R, and Excel.
• Experience with data visualization tools like Tableau or Power BI.
• Strong analytical and problem-solving skills.
• Excellent communication and presentation skills.
• Attention to detail and commitment to data accuracy.
• Knowledge of healthcare policy and regulatory environments preferred.
• Certification in data analysis or related fields preferred.

Benefits

• Equal employment opportunity employer.
• Support for accommodations due to disabilities.