Senior Data Investigator

Job Summary

A company is looking for a Senior Data Investigator to monitor patterns of potential fraud, waste, and abuse in healthcare data.

Key Responsibilities:

• Perform data analysis and generation activities for fraud investigations, including data extracts and summaries
• Prepare healthcare claims data for investigative needs and collaborate with investigations teams
• Establish and implement policies and procedures to ensure compliance with laws and obligations

Required Qualifications:

• Bachelor's Degree in a related area of study
• 1+ years of experience with data modeling tools and information acquisition
• Advanced proficiency with MS Excel, including formulas and pivot tables
• Intermediate proficiency with MS Office (Word, PowerPoint, Outlook)