Job Summary
A pharmacy benefit management company is in need of a Telecommute Statistical Modeling Analyst I.
Must be able to:
- Apply data-mining, statistical and advanced modeling techniques to identify potential fraud, waste, and abuse
- Conduct and develop various forms of statistical analyses to effectively identify patterns among data
- Communicate model findings as well as recommendations to management and internal stakeholders
Applicants must meet the following qualifications:
- This position may require occasional travel and attendance at local conferences and meetings.
- A broad knowledge of statistical and health analytical principles
- Baseline knowledge and basic familiarity with developing, testing and validating models utilized for outlier detection
- Baseline knowledge and basic familiarity with application of supervised and unsupervised models
- Experience in fraud, managed care, insurance, PBM, and/or a healthcare organization analyzing medical and/or pharmacy claims data
- Analytical programming tools, specifically SAS and SQL