Job Summary
A managed healthcare and insurance company needs applicants for an opening for a Remote Program Integrity and Special Investigations Unit Analyst.
Must be able to:
- Profile and identify abnormal behaviors utilizing internal data analytics and fraud technology
- Conduct data mining and analysis to detect aberrancies/outliers using claims data
- Prepare and forward detailed analysis reports to PI/SIU Investigators for review to initiate possible investigations
Must meet the following requirements for consideration:
- High School Diploma/GED or higher
- 1+ year of previous experience in data analytics (including familiarity with manipulating data sets)
- Advanced Microsoft Excel skills
