Healthcare Analytics Business Consultant, SQL/Python

Jobtailor; Alabama; On-site; USD 70,000 - 95,000; Full time

Job summary

Jobtailor is seeking a data analyst to write robust SQL and Python code to extract, manipulate, and analyze large healthcare datasets, supporting investigations of fraud, waste, and abuse in healthcare claims and provider activity.

You will prepare timely operational and customer-facing reports, communicate findings with clear visualizations for diverse audiences, and collaborate with investigators, leadership, and compliance teams to translate processes into actionable data requirements while

Qualifications

• 3+ years of experience in data analytics or data science, preferably in healthcare
• Ability to distill complex data into meaningful insights and present findings to non-technical audiences
• Solid understanding and experience interpreting medical claim data
• Advanced experience in SQL coding sourcing from a data warehouse
• 3+ years of data interpretation and analysis experience
• 3+ years of project leadership experience
• Strong business and systems knowledge
• Excellent problem-solving, critical thinking, and written communication skills
• Advanced experience in Excel
• Bachelor's degree or equivalent experience
• Preferred: Experience in healthcare fraud, waste, and abuse
• Preferred: Proficiency in Python for data analysis (Pandas, NumPy)
• Preferred: Knowledge of healthcare claims, adjudication and reporting
• Preferred: Experience with data visualization tools such as Tableau and Power BI
• Preferred: Familiarity with BigQuery and Jupyter Notebook
• Ability to support standard East Coast business hours

Responsibilities

• Write robust SQL and Python to extract, manipulate, and analyze large healthcare datasets
• Design analyses to investigate healthcare fraud, waste, and abuse in claims and provider activity
• Prepare timely reports and dashboards for stakeholders
• Communicate findings with clear visualizations for diverse audiences
• Collaborate with investigators and compliance teams to translate processes into data requirements
• Develop presentations with business partners on data capabilities and results
• Identify data-quality issues and perform root-cause analysis
• Document data logic to ensure reproducibility and transparency
• Stay updated on policy and detection changes to maintain compliance

Skills

SQL Coding

Python Proficiency

Data Analysis

Healthcare Fraud Detection

Data Visualization

Education

Bachelor's degree or equivalent experience

Tools

Tableau

Power BI

BigQuery

Jupyter Notebook

Job description

• Write robust, efficient SQL and Python code to extract, manipulate, and analyze large healthcare datasets
• Design, develop, and maintain complex data analyses supporting investigations of potential fraud, waste, and abuse in healthcare claims and provider activity
• Prepare timely and accurate operational and customer-facing reports according to prescribed guidelines and standards
• Communicate data-analysis findings through easy-to-understand visualizations and related documents for diverse audiences
• Collaborate with SIU investigators, leadership, program integrity managers, and compliance teams to understand business processes and translate them into actionable data requirements
• Develop and participate in presentations and consultations with business partners on data, capabilities, and performance results
• Identify data-quality issues, perform root-cause analysis, and recommend improvements to reporting accuracy and data integrity
• Document data logic and methodology to ensure reproducibility and transparency
• Stay informed about policy, workflow, and FWA-detection changes to maintain compliance

Requirements

• 3+ years of experience in data analytics or data science, preferably in healthcare, health insurance, or Medicaid/Medicare programs
• Ability to distill complex data into meaningful insights and present findings to non-technical audiences
• Solid understanding and experience interpreting medical claim data
• Advanced experience in SQL coding sourcing from a data warehouse
• 3+ years of data interpretation and analysis experience
• 3+ years of project leadership experience
• Strong business and systems knowledge
• Excellent problem-solving, critical thinking, and written communication skills
• Advanced experience in Excel
• Bachelor's degree or equivalent experience
• Preferred: Experience in healthcare fraud, waste, and abuse
• Preferred: Proficiency in Python for data analysis (Pandas, NumPy)
• Preferred: Knowledge of healthcare claims, adjudication and reporting
• Preferred: Experience with data visualization tools such as Tableau and Power BI
• Preferred: Familiarity with BigQuery and Jupyter Notebook
• Ability to support standard East Coast business hours

Core Competencies

Demonstrates expertise in SQL and Python for data extraction and analysis, with a strong focus on healthcare datasets. Capable of translating complex data into actionable insights and effective visualizations for diverse audiences.

Highest-signal resume keywords

• SQL Coding
• Python Proficiency
• Data Analysis
• Healthcare Fraud Detection
• Data Visualization

ATS Optimization Keywords

Hard Skills

• SQL
• Python
• Data Analysis
• Data Interpretation
• Data Quality Assessment
• Root-Cause Analysis
• Excel
• Healthcare Claims Analysis
• Data Manipulation
• Data Reporting

Soft Skills

• Problem-Solving
• Critical Thinking
• Written Communication
• Collaboration
• Presentation Skills

Industry Keywords

• Healthcare
• Fraud Waste Abuse
• Medicaid
• Medicare
• Data Warehouse

Tools & Technologies

• Tableau
• Power BI
• BigQuery
• Jupyter Notebook