Data Analyst III

Job Summary

A company is looking for a Data Analyst III to perform in-depth evaluation and analysis of potential fraud cases and support complex case development.

Key Responsibilities

• Conduct statistical research, analytics, and reporting for case development and law enforcement data requests
• Utilize data analysis techniques to detect fraud, waste, and abuse in Medicare/Medicaid claims data
• Prepare and participate in training related to Medicare/Medicaid fraud data analysis

Required Qualifications

• Bachelor's Degree in Mathematics, Statistics, Healthcare Administration, Data Science, or related field; MA or MS preferred
• At least 2 years of experience in data analytics and SQL or SAS development
• Experience handling large data sets and knowledge of healthcare information and claims
• Proficiency in MS Word and Excel, and database programming languages such as SQL and SAS
• Knowledge of Medicare and Medicaid rules and regulations is a plus