Lead and manage data analysis activities related to program integrity for Medicare and Medicaid.
Supervise a team of data analysts and ensure high-quality data analysis and management practices.
Utilize various database management systems to input, extract, and manipulate healthcare data.
Conduct analysis of healthcare claims data to detect fraud, waste, and abuse, and in support of ongoing healthcare fraud investigations by internal staff and law enforcement.
Collaborate with stakeholders to support investigations and identify fraud, waste, and abuse.
Develop and maintain data dictionaries and documentation for data analysis processes.
Ensure compliance with CMS data security and privacy requirements.
Requirements
Bachelor’s degree in Information Systems, Computer Science, Statistics, Mathematics, Information Technology, Computer Engineering, or a related field.
Minimum of 10 years of experience in program integrity data analysis.
At least 3 years of supervisory experience in data management and analysis.
Eligible to complete the HHS background verification process at the Public Trust clearance level.
US Citizenship is required
Benefits
Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisdatabase management systemshealthcare data manipulationhealthcare claims analysisfraud detectiondata documentationdata dictionary developmentdata management practicesprogram integrity analysisdata security compliance
Soft skills
leadershipteam supervisioncollaborationstakeholder engagementcommunicationorganizational skillsproblem-solvingattention to detailanalytical thinkingcritical thinking