Data Analyst Fraud Waste & Abuse

Minnetonka, MN - USA

Monthly Salary: Not Disclosed

Posted on: 21 hours ago

Vacancies: 1 Vacancy

Job Summary

Description

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.

Qualifications

Required Qualifications:

5 years of experience writing advanced SQL queries

5 years of fraud waste and abuse data mining experience

4 years of data analysis experience working with database structures

4 years of healthcare claims experience

Preferred Qualifications:

Industry certifications: Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE)
Experience with statistical analysis of data
Knowledge of Medicaid policy and real-life fraud waste abuse schemes
Knowledge of healthcare claim adjudication systems
Experience with Rally

Required Skills :

Basic Qualification :

Additional Skills :

Background Check : No

Drug Screen : No

Description 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 res...