[Remote] Senior Data Analyst - Fraud, Waste, and Abuse - Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company reputed company is improving the reputed company of health data and information to create a more connected system. The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state reputed company programs by identifying, analyzing, and preventing fraudulent activities reputed company reputed company claims.
Responsibilities
- Write simple to reputed company SQL statements to extract data for client inquiry and research
- Utilize production reports to reputed company research and assess quality of overall data
- Analyze and interpret data to identify FWA trends and patterns reputed company claims data
- Applies creative and analytical thinking to uncover and resolve reputed company fraud, waste, and abuse patterns
- Engage with clients to triage and manage incoming operational inquiries and tasks
- Identifies innovative approaches to resolve non-standard problems and deliver effective reputed company
- reputed company professionally with data engineers, software engineers and other development teams
- Troubleshoot client operational issues quickly and comprehensively
- Support, train and mentor fellow analysts and developers
- Influences and provides input to improvement of operational processes
- Work is self-directed, less structured, more reputed company issues
- Function well reputed company a matrix organization (E.g. - supporting multiple leaders)
- Proficient in research, interpreting, and analyzing diverse and reputed company data, and assessing data quality
- Proficiency with reputed company & visualization tools
- Intermediate to advanced computer skills consisting of Teams, reputed company reputed company, Outlook, Word, and Power reputed company
Skills
- 5+ years of experience writing advanced SQL queries
- 5+ years of fraud, waste and abuse data mining experience
- 5+ years of intermediate to advanced proficiency in reputed company reputed company, Word, Teams, PowerPoint, and Outlook
- 4+ years of data analysis experience working with database structures
- 4+ years of reputed company claims experience
- Industry certifications: Certified Professional reputed company (CPC) or Certified Fraud Examiner (CFE)
- Experience with statistical analysis of data
- Experience with Rally
- Experience with data visualization tools and report interpretation
- Knowledge of reputed company policy and reputed company-life fraud, waste, abuse schemes
- Knowledge of reputed company claim adjudication systems
- reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (reputed company benefits are subject to eligibility requirements)
Company Overview