Data Analyst II
A company is looking for a Data Analyst II to conduct evaluations and analyses of potential fraud cases using healthcare claims data.
Key Responsibilities
Perform comprehensive analysis of healthcare claims data and prepare structured reports summarizing findings
Collaborate with management and investigators to support case development through data requests
Apply data mining and statistical techniques to identify anomalies in claims and generate leads for cases
Required Qualifications
Bachelor's or Master's degree in Mathematics, Statistics, Health Informatics, Data Science, or a related field
Minimum 2 years' experience analyzing Medicare and/or Medicaid data
Minimum 2 years' experience in SQL and Python
Working knowledge of SAS, Databricks, Snowflake, or Spark
Strong understanding of healthcare claims and Medicare/Medicaid billing practices
A company is looking for a Data Analyst II to conduct evaluations and analyses of potential fraud cases using healthcare claims data.
Key Responsibilities
Perform comprehensive analysis of healthcare claims data and prepare structured reports summarizing findings
Collaborate with management and investigators to support case development through data requests
Apply data mining and statistical techniques to identify anomalies in claims and generate leads for cases
Required Qualifications
Bachelor's or Master's degree in Mathematics, Statistics, Health Informatics, Data Science, or a related field
Minimum 2 years' experience analyzing Medicare and/or Medicaid data
Minimum 2 years' experience in SQL and Python
Working knowledge of SAS, Databricks, Snowflake, or Spark
Strong understanding of healthcare claims and Medicare/Medicaid billing practices