Medicare/Medicaid Data Analytics Lead

Analytica; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Bonuses

Health care

Training funds

401(k) match

Job summary

Analytica is seeking a Senior Data Analyst with Medicare and Medicaid data experience to support advanced analytic solutions that identify aberrant provider billing and utilization patterns. Strong SQL and Python skills are required, along with experience handling large healthcare claims datasets.

The role involves applying statistical and machine learning techniques, developing models, and communicating findings to project teams and clients.

Qualifications

• Bachelor’s or Master’s degree in Data Analytics, Statistics, Health Policy, or Public Health.
• Experience with Medicare and/or Medicaid data.
• Strong SQL skills with large claims datasets.
• Proficiency in Python.
• Knowledge of statistical programming concepts and ML.
• Experience with ML models including Isolation Forest.
• Experience with Databricks, Snowflake, or notebook environments.
• Strong communication skills to present findings to clients.

Responsibilities

• Gather and define data requirements with client and project teams.
• Develop data models to identify vulnerabilities and anomalies in Medicare/Medicaid.
• Analyze provider billing and utilization patterns using large claims datasets.
• Consult on data analysis, statistical modeling, and analytical techniques.
• Research and evaluate new modeling methods, tools, and trends.
• Develop white papers and documentation outlining methods and findings.
• Monitor compliance with Medicare and Medicaid billing requirements.
• Perform testing and QA for data models and solutions.
• Research emerging data concepts and analytical approaches.
• Present findings and recommendations to project teams and stakeholders.

Skills

SQL

Python

Machine learning concepts

Statistical programming

Data analytics

Communication skills

Education

Data Analytics

Statistics

Health Policy

Public Health

Tools

Databricks

Snowflake

Notebook environments

Tableau

Job description

Analytica is seeking a Senior Data Analyst with Medicare and Medicaid data experience to support advanced analytic solutions that identify aberrant provider billing and utilization patterns. Strong SQL and Python skills are required, along with experience handling large healthcare claims datasets.

The role involves applying statistical and machine learning techniques, developing models, and communicating findings to project teams and clients.