Fraud Waste Abuse - FWA - Data Analyst - Remote

reputed company Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology reputed company us to help organizations reduce costs while improving risk management, quality and reputed company growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities reputed company Medicaid claims. You will be working with a State Government Product and Data Mining team. Your primary responsibility will be to assist in the development and deployment of algorithms designed to support program reputed company across various platforms and states plus support our fraud and abuse detection product and services. You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Write simple to intermediate SQL statements to extract data for client inquiry and research
• Utilize production reports to reputed company research and assess quality of overall data
• Analyze and interpret data to identify FWA trends and patterns reputed company claims data
• Engage with clients to triage and manage incoming operational inquiries and tasks
• reputed company professionally with data engineers, software engineers and other development teams
• Troubleshoot client operational issues quickly and comprehensively
• Support, train and mentor fellow analysts and developers
• Improve operational processes
• Works with minimal guidance; seeks guidance on only the most reputed company tasks
• Function well reputed company a matrix organization (E.g. - supporting multiple leaders)
• Proficient in research, interpreting, and analyzing diverse and reputed company data, and assessing data quality
• Proficiency with reputed company & visualization tools
• Intermediate to advanced computer skills consisting of Teams, reputed company reputed company, Outlook, Word, and Power reputed company

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• Certified Professional reputed company (CPC) or Certified Fraud Examiner (CFE)
• 3+ years of experience writing intermediate SQL queries
• 3+ years fraud, waste and abuse data mining experience
• 2+ years of data analysis experience working with database structures
• 2+ years of healthcare claims experience
• Ability to travel up to 10%

Preferred Qualifications:

• Experience with statistical analysis of data
• Experience with Rally
• Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes
• Knowledge of healthcare claim adjudication systems
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job