Data Analyst with Healthcare Focus

Job Summary

A company is looking for a Data Analyst II to perform in-depth evaluation and analysis of potential fraud cases using claims information and other data sources.

Key Responsibilities

• Conduct statistical research and analytics to support case development and fulfill law enforcement data requests
• Validate data analysis results to identify potential fraud, waste, and abuse in Medicare/Medicaid claims
• Utilize data analysis techniques to detect anomalies in claims data and develop leads for case referrals

Required Qualifications

• Bachelor's Degree
• 2+ years of SQL or SAS development experience with knowledge of healthcare and claims
• Experience with various database management systems for data manipulation
• Knowledge of healthcare information, specifically Medicare and Medicaid claims data
• High proficiency with MS Word and Excel; proficiency in database programming languages such as SQL and SAS