Healthcare FWA Analytics Data Analyst (Remote)

Arlo Solutions; United States; Hybrid; USD 90,000 - 130,000; Full time

Job summary

Arlo Solutions is supporting VA's War Room as a Data Analyst (Healthcare Fraud). The role analyzes claims, enrollment and exclusion data using Palantir, builds rules to detect fraud, and surfaces prioritized leads for government review.

The position is remote with on-site requirements and requires Public Trust clearance. Responsibilities include developing FWA detection rules, provider risk-scoring support, platform development on Palantir, anomaly detection, weekly analytic runs, data

Qualifications

• Experience analyzing federal healthcare data for FWA identification.
• Experience with Palantir analytics platform preferred.
• Ability to write and test business rules for fraud detection.

Responsibilities

• Write, test and document rules for detecting fraud, waste and abuse.
• Support analytics for Provider 360 view and anomaly detection.
• Run weekly analytics feeds for War Room decision packages.
• Extract, clean and analyze health data related to FWA.
• Back-test rules and support QA and corrective action plans.
• Benchmark VHA data analysis with CMS data and methods.

Skills

Data analysis

Problem solving

Attention to detail

Tools

Palantir

Job description

Arlo Solutions is supporting VA's War Room as a Data Analyst (Healthcare Fraud). The role analyzes claims, enrollment and exclusion data using Palantir, builds rules to detect fraud, and surfaces prioritized leads for government review.

The position is remote with on-site requirements and requires Public Trust clearance. Responsibilities include developing FWA detection rules, provider risk-scoring support, platform development on Palantir, anomaly detection, weekly analytic runs, data