Senior Data Analyst – Healthcare Fraud, Waste, and Abuse

🔥 14 minutes ago

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Lucet

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lucet is a tech-enabled behavioral health company that combines human care teams and digital tools to connect individuals to timely, in-network mental health and substance-use care. It partners with health plans, employers, providers, and members through portals (employer/HR, member, provider, partner) and services such as EAP, care navigation, and provider resources to optimize access, quality, and value-driven behavioral healthcare.

📋 Description

• The Senior Data Analyst reports to the Director of Program Integrity and plays a key role in supporting the organization’s Fraud, Waste, and Abuse (FWA) program. • This position is responsible for developing reports, conducting advanced data analysis, and monitoring key indicators to ensure adherence to regulatory standards and internal compliance requirements. • The role works collaboratively across multiple departments to drive compliance initiatives, enhance data integrity, and improve overall operational efficiency. • Develop proactive analytics and use advanced data analysis, pattern recognition, and anomaly detection to identify potential FWA activity. • Analyze complex datasets to uncover trends, compliance risks, and operational issues requiring corrective action. • Create and maintain reports, dashboards, and visualizations to communicate insights across the organization. • Support investigators and internal initiatives with data analysis, reporting, case development, and presentations. • Manage case management systems, ensuring data accuracy, workflow efficiency, and timely updates. • Track departmental metrics (e.g., case volumes, outcomes, performance) and support operational needs, including travel and additional duties.

🎯 Requirements

• Bachelor’s degree or higher in business administration, statistics, computer science, health care administration or related field • 5+ years experience in data analytics, compliance, program integrity, SIU, or fraud/waste/abuse analytics. • 5+ years experience working in Business Objects, SAS, SQL and/or other data analytics programs and applications • Familiarity with data modeling languages • Strong understanding of FWA concepts, regulatory requirements, and compliance frameworks (e.g., CMS, Medicaid/Medicare, OIG). • Experience supporting investigations, audits, or case development. • Strong communication skills with the ability to present findings to technical and non‑technical audiences. • Experience working with Microsoft 365 suite of programs • Ability to pass background check upon hire and throughout employment.

🏖️ Benefits

• Comprehensive health benefit options: Medical, dental, and vision coverage • 401(k) with competitive employer match • Company-paid life and disability insurance • Paid parental leave and wellbeing incentives • Generous paid time off, including volunteer time • Flexible spending accounts for healthcare and dependent care • Professional development opportunities and tuition reimbursement • Remote work flexibility (role-dependent)