Data Science & Informatics Specialist 1 | Medicaid Fraud Control Division | Olympia
Tasks
- Analyze healthcare service utilization data
- Apply medical coding systems to identify billing irregularities
- Audit financial billing and healthcare records
- Build statistical models and data algorithms
- Collaborate on analytical reports data visualizations and spreadsheets
- Design write and execute SQL data queries
- Detect fraud trends anomalies and patterns
- Maintain reports documents spreadsheets and correspondence
- Query complex Medicaid claim and encounter data
- Research Medicaid billing policies and regulations
- Support investigative assessment of fraudulent billing allegations
Perks/Benefits
- Employee assistance program
- Flexible schedules
- Hybrid telework
- Life insurance
- Medical/Dental/Vision
- Paid Holidays
- Public service loan forgiveness
- Tuition waiver
- Vacation & Sick Leave
- Wellness program
Skills/Tech-stack
CPT | DRG | Data Analysis | Data Visualization | Data algorithms | EAPG | Financial Analysis | Fraud Detection | HCPCS | HCPCS Modifier | ICD-10 | ICD-9 | Medical coding | Microsoft Excel | RAT STATS | SAS | SQL | Spreadsheet Macros | Statistical modeling
Education
Bachelor of Arts | Bachelor of Engineering | Bachelor of Science | Master of Science | PhD
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