Healthcare Claims Data Analyst

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $76.5k - $103.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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General Dynamics Information Technology

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1954

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• Develop fraud, waste, and abuse analytics from concept to finished product for the Healthcare Fraud Prevention Partnership • Work against a multi-billion-record claims warehouse assembled from public and private healthcare payers • Translate partner and client requests into specific analytic questions • Determine what can and cannot be answered with available data and raise limitations early • Build analytic logic in SQL and Python against billions of claim records • Test and refine analytics with Fraud, Waste, and Abuse Subject Matter Experts • Distinguish genuine aberrancy from patterns explained by clinical practice, coverage policy, or claim edits • Document methodology, assumptions, and data lineage for reproducibility • Document findings and present results to internal stakeholders • Participate in partner discussions to clarify analytic requirements • Manage several concurrent requests against firm deadlines in a partner- and client-driven queue • Work with Data Scientists, Business Intelligence Developers, and FWA Subject Matter Experts

🎯 Requirements

• Bachelor's degree in a quantitative or health-related field, or equivalent hands-on experience • 4+ years writing SQL against large relational data, including CTEs, window functions, and multi-table joins at scale • Performance awareness sufficient to understand why a query is slow • Working proficiency in Python for data analysis, producing clean and reproducible analysis code • Ability to turn ambiguous requests into defined analytic questions • Ability to recognize when a question cannot be answered with available data • Experience documenting analytic work so another person can reproduce it • Ability to learn an unfamiliar data domain quickly • Ability to explain analytic results clearly in writing and conversation to non-analyst audiences • Accuracy, attention to detail, and organizational discipline to manage concurrent requests • US citizen or Permanent Resident • Must be able to obtain/maintain Public Trust • Work visa sponsorship will not be provided • Candidates must reside in the United States • Desired: healthcare claims data and coding systems experience, FWA/program/payment integrity or utilization review exposure, Snowflake/SnowSQL or comparable cloud data warehouse, Git and collaborative code review, payer coverage policy and claim edits, Tableau or other data visualization software

🏖️ Benefits

• Medical plan options, including some with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with pre-tax and post-tax contributions and company match • Flexible work schedule and full flex work weeks where possible • Paid time off, including vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave • Typically 15 days of paid leave per calendar year • 10 paid holidays per year • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance • Collaborative inter-disciplinary environment • Fully remote work arrangement