Data Analyst - Medicaid

Peraton; United States; Remote; USD 66,000 - 106,000; Full time

Job summary

Peraton is seeking a Data Analyst for SafeGuard Services (SGS) to analyze Medicaid claims data and other sources to uncover fraud, waste, and abuse. You will review data outputs, use various tools, and support ongoing investigations.

May testify in court, with remote work options from the continental United States. The role requires strong analytical skills, experience with data systems, and the ability to handle sensitive information.

Qualifications

• 5 years with BS/BA or 9 years with a HS diploma/equivalent.
• Proven ability to work with a variety of systems, sources of data and analytic tools.
• U.S. citizenship required.
• Court testimony may be required to testify about findings.
• Able to analyze data to identify norms, trends and patterns.
• Able to present issues of concern and regulatory violations.
• Able to report work activity on a timely basis.
• Able to handle confidential material.
• Occasional overnight travel may be required.
• Ability to work independently and as part of a team.

Responsibilities

• Conduct research on Medicaid claims data and other sources to identify problems.
• Review sophisticated data model output and use tools to detect fraud indicators.
• Possibly appear in court to testify about findings.
• Analyze data to identify norms, trends and patterns.
• Present issues of concern, citing regulatory violations and potential fraud schemes.
• Organize case files and document all steps in project development.
• Telework available from contiguous United States (Eastern or Central time zone preferred).

Education

Bachelor's degree

High School diploma or equivalent

Tools

Excel

Relational databases

Reporting tools

Internet

Job description

Responsibilities

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 Medicaid 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 Medicaid 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 (Eastern or Central time zone preferred)

Qualifications

Basic Qualifications:

• 5 years with BS/BA or 9 years with a HS diploma/equivalent.
• 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 required in some instances.
• Ability to work independently and as a member of a team to deliver high quality work
• U.S. citizenship required

Desirable Qualifications:

The most competitive candidates will have:

• Strong computer skills including experience in relational data base design, extract, and reporting, Excel, and the Internet.
• Strong proven analytical ability and basic knowledge of statistics and sampling techniques
• Strong communication and organization skills
• Ability to 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
• Ability to organize a case file, research violations and accurately and thoroughly document all steps taken in project development.

Peraton Overview

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. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we’re keeping people around the world safe and secure.

Target Salary Range

$66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.

EEO

EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.