Healthcare Data Analyst II

5 days ago


Columbus, Ohio, United States WCC Full time
Job Title: Healthcare Data Analyst II

We are seeking a skilled Healthcare Data Analyst II to join our team at WCC. As a key member of our data analysis team, you will play a critical role in identifying potential fraud, waste, and abuse in Medicare claims.

Key Responsibilities:

  • Perform in-depth analysis of Medicare claims data to identify potential fraud, waste, and abuse
  • Develop and maintain complex data models to support case development and law enforcement requests
  • Communicate effectively with internal and external stakeholders, including federal law enforcement officers
  • Validate data analysis results and identify potential fraud, waste, and abuse situations in violation of Medicare laws and regulations
  • Support management requests for CMS reporting requirements
  • Utilize data analysis techniques to detect aberrancies in Medicare claims data and proactively seek out and develop leads and cases

Requirements:

  • Bachelor's degree in statistics or related field, or equivalent work experience
  • High proficiency level with MS Access and MS Excel
  • Working knowledge of SAS and/or other data analysis applications
  • Knowledge of Medicare and Medicaid rules and regulations

What We Offer:

  • Competitive annual salary
  • Full benefits package, including paid holidays, vacation, health, dental, and vision insurance
  • 401(k) plan with employer matching
  • Life, STD, and LTD insurance
  • FlexSpend plan


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