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Team CATHEXIS elevates the government contracting experience through rapid response, deep skill, and thoughtful problem-solving and communication based on customer requirements. Our core capabilities are our top-tier program and project management, learning solutions, performance improvement and business process redesign, data analytics and visualization, and audit services - each delivered through an integrated approach to operational excellence focusing on customer defined value.

You worked hard to get to where you are. You strive to make every day better than the day before. So do we. Team CATHEXIS operates with an all-in mindset. We are working together to create a company that supports our shared values and individual goals. Our values are centered around Respect, Integrity, Teamwork, and Excellence in everything we do for our employees, clients, partners, and communities. We believe success is best when we listen and lead with empathy; model high standards of ethics to provide a rewarding candidate experience; work hard, have fun, and appreciate the strengths we all bring to the team; and empower our employees to create innovative and trusted results.

We are looking for a dynamic Senior Healthcare Data Analyst to join our team The Senior Healthcare Data Analyst will work in support of the to support the Department of Veterans Affairs - Financial Audit of Invoices and Billing Practices under VA's Medical Disability Examination (MDEs) Contracts. This is a remote position.

The person in this role will be successful by: being detail oriented, demonstrating the ability to work independently, maintaining connectivity and access to the VA network and required systems, maintaining access to the MDE Vendor portals, and completing objective evaluations of medical records and claims as it pertains to fraud, waste and abuse.

In the first 90 days success means demonstrating the ability to conduct independent, standards-based invoice audits and document results in a detailed and accurate manner based on criteria with supervisory review. Additionally, the healthcare auditor should demonstrate the ability to prepare assigned audit documentation and actively participate and contribute to audit team planning sessions and post-audit reviews.

  • Preferred location: National Capital Region
Responsibilities:
  • Provide analytical and data sampling support to ongoing audits of medical invoices for compliance with specific coding, service, and billing practices
  • Combines data into single tables to extract samples for audit team for analysis
  • Completes comprehensive analytical review of all electronic invoices to ensure accuracy and completeness
  • Apply advanced analytical techniques to identify potential anomalies and irregularities as part of the audit team
  • Records methods and results as directed by the Audit Team Lead in compliance with the audit methodologies
  • Utilizes IDEA auditing software to develop auditing methods and tests, and export those results for audit team analysis
  • Ensures results and finding are delivered on time and accurately
  • Perform invoice testing and document processes and results using IDEA (audit software)
  • Identify missing data fields, the use of incorrect codes, and other billing irregularities
  • Collaborate with the Audit Team to support audit research and root cause analysis
  • Develop IDEA analysis methods and scripts that are repeatable and applicable for each audit to ensure standardization of approach and accuracy of results
Requirements:
  • Must have a NAIC Clearance/Public Trust or be eligible to receive one
  • Must have a Public Bachelor's degree or equivalent experience as a healthcare analyst
  • Minimum of five (5) years' of relevant experience
Required Skills :
  • Demonstrated past analytical expertise and the ability to master IDEA is necessary for this position
  • Proficient working knowledge of Microsoft Office suite, especially Excel and familiarity with Access and SQL preferred
  • Ability to manage multiple issues, keep track of status, and contact to clients
  • Ability to govern workload and demonstrated time management skills
  • Demonstrated ability to function within a team-based work environment
  • Excellent organizational skills
  • Must be able to identify and resolve problems in a timely manner
  • Gather and analyze information skillfully
  • Demonstrate resourcefulness and initiative in dealing with daily assumptions
  • Ability to collaborate with multiple organizations
  • Excellent attention to detail
  • Ability to multi-task and willingness to complete tasks as assigned
  • Strong oral and written communications skills
  • Strong analytical skills
Desired Skills:
  • IDEA scripting
  • Strong statistical analysis skills
CATHEXIS is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact the RecruitingTeam@cathexiscorp.com.

Benefits
  • CATHEXIS offers a comprehensive benefits package that includes:
  • Performance Bonuses
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan (Traditional and ROTH)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off
  • 11 Federal Holidays
  • Parental Leave
  • Commute Benefits
  • Short Term & Long Term Disability
  • Training & Development
  • Wellness Program
  • Community Outreach Initiatives