FWA Payment Integrity Data Analyst III
Tasks
- Analyze complex data relationships
- Conduct outcome analyses for program initiatives
- Conduct sampling and hypothesis testing
- Develop data analyses for fraud waste and abuse
- Generate data visualizations for communication
- Identify trends and patterns in claims data
- Implement data analytics strategy
- Manage investigation reporting workflows
- Monitor data vulnerabilities and trends
- Perform SIU program integrity and audit analyses
- Prepare management level summaries for audits
- Research policies and regulations
- Support legal proceedings with analyses
- Validate vendor deliverables
Perks/Benefits
- N/A
Skills/Tech-stack
APC | Access | CPT | DRG | Data Mapping | Data Normalization | Data Visualization | Data analytics | Data integration | Database Relationships | Descriptive Statistics | Dimensional Modeling | Excel | HCPCS | Healthcare Data | Healthcare Data Analytics | Hypothesis Testing | ICD10 | Inferential Statistics | Integration Services | Medicaid | Medicare | Microsoft SQL | Microsoft SQL Server | Power BI | Python | SAS | SQL | SQL Server | SQL Server Integration Services | SQL Server integration | Sampling | Server Integration Services | Transact-SQL
Education
Roles
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