Data Analyst - Medicaid

MedStar Health; Herndon (VA); Remote; USD 66,000 - 106,000; Full time

Job summary

MedStar Health cherche à recruter un Data Analyst pour une analyse approfondie des données Medicare. Le candidat doit être capable de mener des recherches indépendantes et de documenter les résultats. Le poste implique également des déplacements, y compris des apparitions en cour pour témoigner. La rémunération cible vary entre $66,000 et $106,000, basée sur l'expérience.

Qualifications

• 4 ans d'expérience avec un AS/AA ou 2 ans avec un BS/BA.
• Compétence pour utiliser divers systèmes et sources de données.
• Citoyenneté américaine requise.

Responsibilities

• Analyser les données pour identifier les normes et tendances.
• Présenter des problèmes concernant des violations réglementaires.
• Organiser les dossiers de cas et documenter les étapes de manière précise.

Skills

Analyse des données

Compétences en communication

Compétences organisationnelles

Utilisation d'Excel

Recherche Internet

Education

BS/BA

Tools

Outils analytiques

Job description

SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

We are looking to add a Data Analyst to our SGS team of talented professionals.

What you'll do:

The position requires the individual to conduct research on Medicare claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and support ongoing fraud investigations and requests for data.

This position may require the incumbent to appear in court to testify about work findings.

• Analyze data to identify and compare norms, trends and patterns.
• Present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
• Conduct self-directed research to uncover problems in Medicare payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices.
• Organize case files, research violations and accurately and thoroughly document all steps taken in project development.
• Telework available from contiguous United States.

Qualifications

Basic Qualifications:

• 4 years with AS/AA; 2 years with BS/BA; 0 years with MS/MA; 6 years with no degree
• Proven ability to work with a variety of systems, sources of data, and analytic tools
• This position may require the incumbent to appear in court to testify about work findings.
• Ability to analyze data to identify and compare norms, trends and patterns.
• Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
• Ability to report work activity on a timely basis.
• Ability to handle confidential material.
• Ability to attend meetings, training, and conferences; overnight travel may be required.
• Ability to work independently and as part of a team to deliver high-quality work.
• U.S. citizenship is required.

Desirable Qualifications:

The most competitive candidates will have:

• Strong computer skills including experience in relational database design, data extraction, reporting, Excel, and Internet research.
• Strong analytical skills with basic knowledge of statistics and sampling techniques.
• Strong communication and organizational skills.
• Experience in conducting self-directed research to identify problems in Medicare payments across various provider types.
• Ability to organize case files, research violations, and document all steps thoroughly.

About Peraton

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. We deliver trusted, highly differentiated solutions and technologies to protect our nation and allies, operating at the critical nexus between traditional and nontraditional threats across all domains. Visit peraton.com to learn more.

Salary Range & Equal Opportunity

Target Salary Range: $66,000 - $106,000, based on experience and other factors.

Peraton is an equal opportunity employer, including for individuals with disabilities and protected veterans. We are committed to helping all candidates find great careers. Your information is secure and confidential. Please apply directly at the employer’s website.