job summary:
Enterprise Healthcare client has an immediate opening for a highly motivated Data Analyst Fraud Waste & Abuse to join their dynamic and growing team. All qualified candidates are encouraged to apply!
location: Telecommute
job type: Contract
salary: $40 - 50 per hour
work hours: 8am to 5pm
education: Bachelors
responsibilities:
- Write simple to intermediate SQL statements to extract data for client inquiry and research
- Utilize production reports to perform research and assess quality of overall data
- Analyze and interpret data to identify FWA trends and patterns within claims data.
- Engage with clients to triage and manage incoming operational inquiries and tasks
- Interface 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
- Improve operational processes
- Works with minimal guidance; seeks guidance on only the most complex tasks
- Function well within a matrix organization (E.g. - supporting multiple leaders)
- Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality
- Proficiency with excel & visualization tools
- Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point.
qualifications:
The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities within Medicaid claims. You will be working with a State Government Product and Data Mining team. Your primary responsibility will be to assist in the development and deployment of algorithms designed to support program integrity across various platforms and states plus support our fraud and abuse detection product and services.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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