Healthcare Fraud Data Analyst

August 29

Apply Now

Receive Emails with Similar Jobs

Softrams

WebsiteLinkedInAll Job Openings

Designing human centered software and developing digital services focused on HX, AI, Cloud, Devops and Cyber Security

UX • Big Data • DevOps • Cyber Security • Data Science

201 - 500

Description

• Softrams is seeking a Healthcare Data Analyst to research program integrity vulnerabilities and develop analytical models supporting fraud prevention efforts. • Work may also support efforts to evaluate healthcare outcomes and program benefits or support program operations. • The selected candidate will work with a project team in support of federal clients in the Baltimore-Washington metro area.

Requirements

• Bachelor’s degree in data science, statistics, mathematics, public health, economics, or related quantitative field. • 8+ years' experience in data analysis, software/application development, business system analysis, or program integrity investigations. • 5+ years of experience using statistical methodologies to assess healthcare program integrity, or evaluate healthcare outcomes, access to care, equity and other research especially in Medicare, Medicaid, and Managed Care programs. • Knowledge of healthcare claims data and beneficiary benefits, especially in Medicare and Medicaid. • Advanced proficiency with analytical software including Python and/or R, to manipulate and analyze data and to build analytical models. • In-depth knowledge of statistics and algorithms used in machine learning, text analytics, deep learning, and/or predictive modeling their appropriate use. • Experience with data engineering using SQL queries, Spark, and/or python and to extract and transform large volumes of data into a format suitable for analysis. • Experience using cloud-based services and resources (e.g., AWS, Azure, Google cloud). • Ability to obtain a Public Trust Clearance. This role may require the hired candidate to go through public clearance. A minimum of 3 years of stay in the U.S. within the last 5 years is a must to be eligible to qualify for public trust clearance sponsorship.