Data Analyst II

Job Summary

A company is looking for a Data Analyst II to conduct evaluations and analyses of potential fraud cases using healthcare claims data.

Key Responsibilities

• Perform comprehensive analysis of healthcare claims data and prepare structured reports summarizing findings
• Collaborate with various stakeholders to support case development efforts and fulfill data requests
• Apply data mining and statistical modeling techniques to identify anomalies in claims and generate leads for investigations

Required Qualifications

• Bachelor's or Master's degree in Mathematics, Statistics, Health Informatics, Data Science, or a related field
• Minimum 2 years' experience analyzing Medicare and/or Medicaid data
• Minimum 2 years' experience in SQL and Python
• Working knowledge of SAS, Databricks, Snowflake, or Spark
• Strong understanding of healthcare claims and Medicare/Medicaid billing practices