Senior Data Analyst

🕒 5 days ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $70k - $100k / year

⏰ Full Time

🟠 Senior

📉 Data Analyst

👻 Ghost score 0%

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Integrity Management Services, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

🏥 Healthcare

🛡️ Insurance

Consulting • Healthcare • Insurance

Integrity Management Services, Inc. is a women-owned, women-run company specializing in helping government and commercial enterprises minimize the risk of improper payments, fraud, waste, and abuse. The company provides a range of services including data analytics, fraud investigations, compliance reviews, audits, grants management, staff augmentation, and coding and medical reviews. IntegrityM, as they are known, works closely with Federal Government agencies, state agencies, and private sector organizations to drive informed decisions and enhance program transparency and oversight. The company is recognized for its contributions to the community and has been awarded for excellence in government contracting and corporate social responsibility.

📋 Description

• Develop and implement models and analytical approaches supporting Medicare and Medicaid fraud, waste, and abuse detection • Apply healthcare data and policy expertise to hypothesize fraud-scheme footprints in data • Design and execute tests to validate hypotheses and build fraud detection models • Detect anomalies and investigate potential indicators of fraudulent activity • Identify outliers and patterns consistent with fraud, waste, or abuse • Construct advanced models for targeted analysis using Python, R, SQL, and SAS • Extract and manipulate Medicare, Medicaid, and other healthcare claims data in cloud environments • Design and execute targeted analyses and develop related materials • Maintain knowledge of Medicare and Medicaid policies and adjust methodologies for policy changes • Participate in testing sprints and related project initiatives • Provide subject matter expertise and guidance to Statistical and Data Analysts • Assist with task execution and ensure quality through peer review and technical assistance • Prepare detailed analytical reports • May serve as Team Lead by planning, coordinating, and documenting project activities, managing team performance, and liaising with clients

🎯 Requirements

• Minimum 4-year degree in statistics, mathematics, computer science or related field OR minimum 6 years of data analysis experience within the healthcare industry • 6 years of professional experience working with large and complex data sets • Advanced knowledge of analytic, mathematical, and statistical methods • Experience with healthcare claims data, specifically Medicare and Medicaid claims • Experience or understanding of ICD10 codes, HCPCS, and Diagnosis Related Groups (DRG) • Confidence in merging disparate datasets, INNER/LEFT/RIGHT joins, COALESCE(), CAST(), SUBSTR(), LAG(), and PROC SQL • Relevant experience in a health-related, scientific, or public policy/business discipline with extensive quantitative methods/statistical knowledge • Proficient in SAS, Python, R and/or SQL • Proficient with Microsoft Office products such as Excel, Word, PowerPoint and Outlook • Knowledge of analytic methodologies and principles • Knowledge of program integrity data analytics • Ability to respond to tasks or requests in a cooperative and timely manner • Demonstrated adaptability to change • Strong customer service, organizational, and analytical skills • Ability to use complex mathematical calculations • Excellent leadership and presentation skills • Ability to work independently and as a member of a team • Ability to multitask and prioritize assignments while meeting deadlines • Must pass post hire background screening checks • Ability to obtain security clearance, if required by Client/Contract • For remote work, required to have wired and/or wireless internet access

🏖️ Benefits

• Vacation • Sick leave • Paid holidays • Health insurance • Dental insurance • Vision insurance • Short- and long-term disability • Life insurance • Employee assistance plan • 401(K) retirement plan • Educational benefits • Remote work • Wired and/or wireless internet access required for remote work

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