Fraud Analytics Investigator – Public Benefits

Commonwealth of Massachusetts; Boston (MA); Sur place; USD 61 000 - 92 000; Plein temps

Résumé du poste

Office of the State Auditor is seeking a Data Analytics Fraud Examiner to investigate fraudulent claims and transactions within public assistance programs in Massachusetts. You will analyze Medicaid and EBT data, identify patterns, and present findings to management with actionable recommendations.

The role requires building data models, developing reports, and maintaining documentation while ensuring HIPAA compliance and data security across OSA systems.

Qualifications

• 3+ years in investigations, analytics, or related field.
• Experience with Medicaid data or public benefits data.
• Proficient in SQL and BI/visualization tools.

Responsabilités

• Identify data sources and data fields for reports and metrics.
• Monitor electronic accounts and transactions for suspicious activity.
• Develop data models and protocols for mining production databases.
• Prepare written summaries with supporting data for investigations.
• Ensure compliance with HIPAA and data policies.

Connaissances

Data analysis

SQL

BI tools

Fraud investigations

Formation

Master’s degree in criminal justice

Outils

QlikView/Sense

Tableau

Description du poste

Office of the State Auditor is seeking a Data Analytics Fraud Examiner to investigate fraudulent claims and transactions within public assistance programs in Massachusetts. You will analyze Medicaid and EBT data, identify patterns, and present findings to management with actionable recommendations.

The role requires building data models, developing reports, and maintaining documentation while ensuring HIPAA compliance and data security across OSA systems.