Mid Level Data Analyst

Job#: 3020596

Job Description:
Job Description: Data Analyst II

Cannot accept candidates that require work authorization sponsorship now or in the future.

Work Arrangement: 100% Remote

Schedule: Monday-Friday, 8:00 a.m. - 5:00 p.m.
Position Overview

The Data Analyst II supports the Program Integrity team by analyzing healthcare claims data to identify and prevent fraud, waste, and abuse (FWA) within Medicaid programs. This role requires strong analytical skills, SQL proficiency, and experience working with healthcare claims data. The analyst will interact regularly with clients, engineers, and other internal teams to resolve operational issues and ensure high-quality data outcomes.
Key Responsibilities

• Write simple to intermediate SQL queries to extract data for client inquiries and research.
• Use production reports to research and assess overall data quality.
• Analyze healthcare claims data to identify trends, patterns, and potential FWA indicators.
• Engage with clients to triage, manage, and resolve incoming operational inquiries.
• Collaborate professionally with data engineers, software engineers, and other development teams.
• Troubleshoot client operational issues promptly and thoroughly.
• Conduct research, interpret complex datasets, and evaluate data quality.
• Utilize Excel and data visualization tools to support reporting and analysis efforts.
• Demonstrate proficiency with Microsoft Teams, Excel, Outlook, Word, and PowerPoint.

Required Qualifications

• 3+ years writing intermediate SQL queries.
• 3+ years of experience with FWA data mining.
• 3+ years of data analysis experience with database structures.
• 3+ years of experience working with healthcare claims data.

Preferred Qualifications

• Industry certifications such as Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE).
• Experience performing statistical analysis on large datasets.
• Knowledge of Medicaid policy and real-world FWA schemes.
• Familiarity with healthcare claim adjudication systems.
• Experience using Rally or similar work management tools.

Project Summary

The Fraud, Waste, and Abuse (FWA) Data Analyst plays a key role in protecting state Medicaid programs by identifying and analyzing fraudulent activity within claims data. The team supports multiple states through a state government FWA product, delivering 16 new algorithms per year, supporting new implementations, and maintaining ongoing client operations.
Ideal Candidate Profile

A data-focused professional with healthcare claims experience, strong SQL skills, and a CPC or CFE certification. Prior FWA experience is highly valued.
Top Required Skills

(All required)

• SQL (3+ years)
• FWA data mining (3+ years)
• Data analysis with database structures (3+ years)
• Healthcare claims expertise (3+ years)

Candidate Differentiators

• Curiosity and a strong willingness to learn.
• Ability to engage effectively with both technical and non-technical stakeholders.

Team Structure

• 3 Data Engineers
• 2 Report Developers (Power BI & Cognos)
• 10 Data Analysts
• 2 Managers
• 1 Director
• All supporting state government program integrity initiatives.

Interview Process

• Number of Rounds: 2
• Format: Video
• Technical Depth: General Q&A with analytical and SQL-focused questions

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click for more details.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.