Senior Data Analyst – Healthcare FWA Analytics (Remote)

Integrity Management Services, Inc.; Alexandria (VA); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

401(k) retirement plan

Paid holidays

Vision insurance

Employee assistance plan

Job summary

Integrity Management Services, Inc. is seeking a Senior Data Analyst with deep healthcare analytics expertise focused on Medicare and Medicaid fraud, waste, and abuse detection. The role collaborates with Statistical and Data Analysts to produce high-quality analytical deliverables using Python, R, SQL and SAS.

The candidate will develop and validate models, detect data anomalies, and prepare detailed reports for clients. Remote US work is possible with a strong benefits package.

Qualifications

• Minimum 4-year degree in statistics, mathematics, computer science or related field or possesses a minimum of 6 years of data analysis experience within the healthcare industry.
• Experience with healthcare claims data, specifically Medicare and Medicaid claims.
• Proficient with SAS, Python, R and/or SQL and knowledge of ICD10 codes, HCPCS, DRG.

Responsibilities

• Develops and implements models and analytical approaches supporting Medicare/Medicaid FWA detection.
• Designs and executes tests to validate hypotheses and build forgery detection models.
• Detects anomalies in healthcare data and investigates indicators of fraudulent activity.
• Constructs advanced models for targeted analysis using Python, R, SQL and SAS.
• Extracts and manipulates Medicare/Medicaid claims data in cloud environments using Python/R/SQL/SAS.
• Maintains knowledge of Medicare/Medicaid policies and adjusts methodologies accordingly.
• Prepares detailed analytical reports for clients and internal teams.
• May serve as Team Lead, coordinating activities and liaising with clients.

Skills

Python

R

SQL

SAS

Healthcare analytics

Data visualization

Education

Bachelor's degree in statistics, mathematics, computer science or related field

Tools

SAS

Python

R

SQL

Job description

Integrity Management Services, Inc. is seeking a Senior Data Analyst with deep healthcare analytics expertise focused on Medicare and Medicaid fraud, waste, and abuse detection. The role collaborates with Statistical and Data Analysts to produce high-quality analytical deliverables using Python, R, SQL and SAS.

The candidate will develop and validate models, detect data anomalies, and prepare detailed reports for clients. Remote US work is possible with a strong benefits package.