Data Analyst Healthcare Fraud
Job Summary
To support the Department of Veterans Affairs' fraud detection initiatives, the remote Data Analyst Healthcare Fraud will analyze healthcare claims data, develop fraud detection algorithms, and produce actionable insights for government stakeholders while adhering to on-site requirements.
Key responsibilities:
- Develop, test, document, and maintain fraud, waste, and abuse (FWA) business rules and algorithms
- Analyze healthcare claims and enrollment data to identify anomalies and prioritize investigative leads
- Support analytics development and configuration within the Palantir platform for War Room operations
Required qualifications:
- 2-5 years of experience in federal healthcare data analytics and fraud detection
- Strong proficiency with SQL, Python, PySpark, and healthcare data analytics platforms
- Experience with healthcare claims data, including CPT/HCPCS codes and ICD-10 coding
- Bachelor's degree in Information Technology, Data Science, or a related field
- Ability to pass a Public Trust clearance and obtain a VA PIV card
Complete Job Description
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