Note: The job is a remote job and is open to candidates in USA. Peraton is a next-generation national security company that drives missions of consequence spanning the globe. They are seeking a Data Analyst to conduct research and analysis on Medicaid claims data to identify potential fraud and support investigations.
Responsibilities
- Conduct research on Medicaid claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and support ongoing fraud investigations and requests for data
- This position may require the incumbent to appear in court to testify about work findings
- Analyze data to identify and compare norms, trends and patterns
- Present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
- Conduct self-directed research to uncover problems in Medicaid payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices
- Organize case files, research violations and accurately and thoroughly document all steps taken in project development
Skills
- 5 years with BS/BA or 9 years with a HS diploma/equivalent
- Proven Ability to work with a variety of systems, sources of data and analytic tools
- This position may require the incumbent to appear in court to testify about work findings
- Ability to analyze data to identify and compare norms, trends and patterns
- Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
- Ability to report work activity on a timely basis
- Ability to handle confidential material
- Ability to attend meetings, training and conferences, overnight travel required in some instances
- Ability to work independently and as a member of a team to deliver high quality work
- U.S. citizenship required
- Strong computer skills including experience in relational data base design, extract, and reporting, Excel, and the Internet
- Strong proven analytical ability and basic knowledge of statistics and sampling techniques
- Strong communication and organization skills
- Ability to conduct self-directed research to uncover problems in Medicare payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices
- Ability to organize a case file, research violations and accurately and thoroughly document all steps taken in project development
Benefits
- Telework available from contiguous United States (Eastern or Central time zone preferred)
- Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
Company Overview