Fraud & Compliance Data Analyst – Reporting

ibex; Washington (District of Columbia); On-site; USD 85,000 - 120,000; Full time

Job summary

ibex seeks a Data/Reporting Analyst to support the Special Investigations Unit (SIU) and ensure regulatory adherence across NEMT operations. The role involves managing, analyzing, and reporting on large datasets to identify trends, anomalies, and discrepancies related to Fraud, Waste, and Abuse (FWA).

This position requires producing recurring CMS and State Medicaid reports, maintaining accuracy and compliance, and collaborating with operations, credentialing, and IT to resolve data issues and

Qualifications

• Advanced proficiency in Microsoft Excel and demonstrated ability to manage large, complex datasets.
• Hands-on experience with SQL and data visualization tools (Power BI, Tableau, QuickSight) is highly preferred.
• Analytical aptitude with exceptional attention to detail and problem-solving capabilities.
• Strong written communication skills with ability to distill complex data findings into clear executive summaries.
• Industry experience in healthcare data reporting (Medicare/Medicaid, NEMT, or compliance/audit) is a plus.

Responsibilities

• Analyze trip logs, billing records, and driver credentialing data to identify patterns or compliance breaches needing investigation.
• Develop, generate, and maintain recurring and ad-hoc reports for CMS, State Medicaid programs, and MCO clients.
• Perform data validation checks to ensure accuracy and consistency across systems.
• Identify operational trends, cost drivers, or service discrepancies and translate data into insights for teams.
• Collaborate with operations, credentialing, and IT to resolve data discrepancies and improve collection processes.

Skills

Excel

SQL

Data visualization

Analytical thinking

Tools

Power BI

Tableau

QuickSight

SQL

Job description

ibex seeks a Data/Reporting Analyst to support the Special Investigations Unit (SIU) and ensure regulatory adherence across NEMT operations. The role involves managing, analyzing, and reporting on large datasets to identify trends, anomalies, and discrepancies related to Fraud, Waste, and Abuse (FWA).

This position requires producing recurring CMS and State Medicaid reports, maintaining accuracy and compliance, and collaborating with operations, credentialing, and IT to resolve data issues and