Senior Analyst Payment Integrity

Job Summary

A company is looking for a Payment Integrity Analytics, Senior Analyst.

Key Responsibilities

• Plan and conduct statistical and epidemiological analysis of health care data
• Design and conduct analysis of health care databases using SQL, PowerBI, or other statistical analysis software
• Mentor junior team members and prepare reports documenting analytic methods and results

Required Qualifications

• 4+ years of experience applying statistical and analytical methods to identify potential FWA activity using healthcare claims data
• Experience with Medicaid programs for the State of Indiana
• 4+ years of experience preparing reports and presentations for internal and external customers
• 4+ years of experience working on complex projects to validate new FWA detection models and methods
• Must reside in the State of Indiana for this fully remote opportunity