Data Analyst II

VirtualVocationsGrand Rapids, Michigan, United States

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A company is looking for a Data Analyst II to conduct advanced analyses of potential fraud cases and data inquiries.

Key Responsibilities

Perform comprehensive analysis of healthcare claims data and prepare structured reports summarizing findings

Collaborate with management and investigators to support case development efforts through data requests

Apply data mining and statistical modeling techniques to identify anomalies in Medicare / Medicaid claims

Required Qualifications

Bachelor's or Master's degree in Mathematics, Statistics, Health Informatics, Data Science, or a related field

Minimum 2 years' experience analyzing Medicare and / or Medicaid data

Minimum 2 years' experience in SQL and Python

Working knowledge of SAS, Databricks, Snowflake, or Spark

Strong understanding of healthcare claims, ICD codes, and Medicare / Medicaid billing practices

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