Sr. Data Analyst

3 weeks ago


Rockville, United States Integrity Management Services Full time
  • Build models and conduct analytics that contribute to Medicare and Medicaid fraud, waste and abuse efforts.
  • Uses this knowledge to construct fraud detection models.
  • Builds complex models for specific analysis using technology such as Python (Python, PySpark), R, SQL, SAS, Databricks.
  • Manipulates and extracts Medicare, Medicaid, and other healthcare claims data stored in Cloud environment using appropriate software such as SAS, Snowflake, Python, R, SQL, and other software as appropriate for the task.
  • Continuously evaluate impacts of policy and policy changes on fraud detection models.
  • Experience or understanding of Medicare and Medicaid claims, ICD10 codes, HCPCS, Diagnosis Related Groups (DRG).
  • Relevant experience in a health-related, scientific, or public policy/business discipline with extensive quantitative methods/statistical knowledge.
  • Proficient in project software such as SAS/SQL, Python/PySpark, Snowflake, R, Databricks CMS cloud environments.

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