Sr. Data Analyst (Full-time, Remote)
Description
About Us
Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel!
In this role, the Senior Data Analyst possesses an in-depth knowledge of health care systems, expertise with healthcare claims (Medicare and Medicaid), intermediate computer and software skills, and the ability to produce high quality deliverables for our clients. The Senior Data Analyst works independently and collaboratively with Statistical and Data Analysts to provide analytical data support.
Job Responsibilities:
- Develops and implements models and analytical approaches that support Medicare and Medicaid fraud, waste, and abuse (FWA) detection efforts. Applies healthcare data and policy expertise to known fraud schemes to hypothesize the “footprints” such schemes may leave in the data.
- Designs and executes tests to validate these hypotheses and leverages findings to build effective fraud detection models.
- Detects anomalies in healthcare data and investigates potential indicators of fraudulent activity. Identifies outliers that demonstrate patterns consistent with fraud, waste, or abuse.
- Constructs advanced models for targeted analysis using tools such as Python, R, SQL and SAS.
- Extracts and manipulates Medicare, Medicaid, and other healthcare claims data housed in cloud environments using software tools including Python, R, SQL, SAS and others as appropriate to the task.
- Designs and executes targeted analyses and develops related materials to support project goals.
- Maintains ongoing knowledge of Medicare and Medicaid policies, including updates and changes. Evaluates the implications of policy changes on fraud detection models and adjusts methodologies accordingly.
- Participates in and supports testing sprints and related project initiatives.
- Provides subject matter expertise and guidance to Statistical and Data Analysts.
- Assists in task execution and ensures quality of project deliverables through peer review and technical assistance.
- Prepares detailed analytical reports.
- May serve as a Team Lead, responsible for planning, coordinating, and documenting project activities, managing team performance, and serving as a primary liaison with clients.
Requirements
Job Qualifications:
- Minimum 4-year degree in statistics, mathematics, computer science or related field or possesses a minimum of 6 years of data analysis experience within the healthcare industry.
- Has 6 years of professional experience working with large and complex data sets.
- Advanced knowledge of analytic, mathematical, and statistical methods.
- Experience with healthcare claims data, specifically Medicare and Medicaid claims.
- Experience or understanding of ICD10 codes, HCPCS, and Diagnosis Related Groups (DRG).
- Confidence in merging disparate datasets, INNER/LEFT/RIGHT joins, and functions such as COALESCE(), CAST(), SAS functions such as SUBSTR(), LAG(), PROC SQL.
- Relevant experience in a health-related, scientific, or public policy/business discipline with extensive quantitative methods/statistical knowledge.
- Proficient in project software: SAS, Python, R and/or SQL.
- Proficient with Microsoft Office products such as Excel, Word, PowerPoint and Outlook.
- Knowledge of analytic methodologies and principles.
- Knowledge of program integrity data analytics.
- Responds to tasks or requests in a cooperative and timely manner.
- Demonstrates adaptability to change and initiates or identifies change when necessary.
- Strong customer service, organizational, analytical skills.
- Ability to use complex mathematical calculations.
- Excellent leadership and presentation skills.
- Ability to work independently and as a member of a team to deliver high quality work.
- Ability to multitask and prioritize assignments while meeting deadlines.
Additional Requirements:
- Must pass post hire background screening checks.
- For remote work, required to have wired and/or wireless internet access.
- Ability to obtain security clearance, if required by Client/Contract.
Benefits
This position is eligible for the benefits applicable to full-time regular employees, such as: vacation, sick leave, paid holidays, health insurance, dental insurance, vision insurance, short- and long-term disability, life insurance, employee assistance plan, 401(K) retirement plan, and educational benefits.
U.S. remote annual salary range: $70,000-$100,000/annual
For candidates in jurisdictions requiring range disclosure, this is the good-faith range for this role; final pay may vary by work location and job-related factors such as skills, experience, location, and internal equity. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
IntegrityM is an Equal Opportunity Employer and we do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, and gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Skills
As published by workable · 23 questions
Basics
First name, Last name, Email, Headline, Phone, Address, Photo, Is your Age Under 18? (This information will be used to comply with child labor laws and regulations), Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?, Education, Summary, Resume, Please provide your salary rate requirements., Please provide your start date timeframe., How or by whom were you referred to us?, Were you ever employed by IntegrityM Inc., or any other related companies? If so, what was the company's name?, Are you currently subject to any restrictive covenant provisions (e.g., non-compete, non-solicitation, confidentiality agreements) or employment agreements?, Please explain any gaps in your employment history:, Have you ever been discharged or forced to resign? If Yes, please explain., Did you receive any discipline in your last 12 months of active employment with your previous employer?, State any additional information you feel may be helpful to us in considering your application. This could include any specialized training or courses you have completed that will aid in evaluating your qualifications for the position you are seeking. (Example: If applying for a clerical position, note training such as word processing, typing, calculator, computer, hardware, software, etc.) Please include grade or other indicator of achievement, such as words per minute typed., Please list at least three people within the last 7 years we may contact with reference to your application. One should be from a former manager/supervisor, and two from a co-worker, client, vendor, mentor; please do not include relatives. References will not be contacted before an offer is made., NOTE: Complete this section only if you are a student with no employment history. Please list at least three current or former professors we may contact with reference to your application., Will you be able to plug in a hardwired connection with an Ethernet cord?, Cover letter, I understand that Integrity Management Services, Inc. (hereinafter referred to as the Company) requires certain information about me to evaluate my qualifications for employment and to conduct its business if I become an employee. Therefore, I authorize the Company to investigate my past employment, educational credentials, and other employment-related activities. I agree to cooperate in such investigations and release those parties supplying such information to the Company from all liability or responsibility with respect to information supplied. I agree that the Company may use the information it obtains concerning me in the conduct of its business. I understand that such use may include disclosure outside the Company in those cases where its agents and contractors need such information to perform their functions, where their company’s legal interests and/or obligations are involved, or where there is a medical emergency involving me. I understand, however, that the Company intends to protect the confidentiality of personal information it obtains concerning me to the extent required by law. I agree that I will not disclose or use while interviewing with or employed with Integrity Management Services, Inc. any confidential or proprietary information of others, including any former employer. I consent to and authorize the Company to complete any post-offer background investigation and/or physical evaluations that the Company may require including testing for illegal or unauthorized substances. I understand that any offer of employment is contingent upon my successful passing of the background investigation and/or the physical evaluation requirements. I understand that my employment with the Company would not be for any fixed period of time and that, if employed, I may resign at any time, for any reason, or the Company may terminate my employment at any time for any reason in the absence of a specific written agreement to the contrary. I understand that my employment-at-will status may not be modified or changed except in writing and signed by a duly authorized officer of the Company., If selected, we have a background screening process consisting of an education, employment, credit, criminal, and a drug test. Will you have any issues with providing this information after receiving an offer of employment?, Have you physically resided in the United States continuously for the past three (3) years? Please answer ‘No’ if you lived outside the United States at any time during this three-year period.
Pick from a list (23)
- Minimum 4-year degree in statistics, mathematics, computer science or related field or possesses a minimum of 6 years of data analysis experience within the healthcare industry.
- Has 6 years of professional experience working with large and complex data sets.
- Advanced knowledge of analytic, mathematical, and statistical methods.
- Experience with healthcare claims data, specifically Medicare and Medicaid claims.
- Experience or understanding of ICD10 codes, HCPCS, and Diagnosis Related Groups (DRG).
- Confidence in merging disparate datasets, INNER/LEFT/RIGHT joins, and functions such as COALESCE(), CAST(), SAS functions such as SUBSTR(), LAG(), PROC SQL.
- Relevant experience in a health-related, scientific, or public policy/business discipline with extensive quantitative methods/statistical knowledge.
- Proficient in project software: SAS, Python, R and/or SQL.
- Proficient with Microsoft Office products such as Excel, Word, PowerPoint and Outlook.
- Knowledge of analytic methodologies and principles.
- Knowledge of program integrity data analytics.
- Responds to tasks or requests in a cooperative and timely manner.
- Demonstrates adaptability to change and initiates or identifies change when necessary.
- Strong customer service, organizational, analytical skills.
- Ability to use complex mathematical calculations.
- Excellent leadership and presentation skills.
- Ability to work independently and as a member of a team to deliver high quality work.
- Ability to multitask and prioritize assignments while meeting deadlines.
- Must pass post hire background screening checks.
- For remote work, required to have wired and/or wireless internet access.
- Ability to obtain security clearance, if required by Client/Contract.
- Have you resided in the US for at least the past three years?
- Are you legally authorized to work in the US without sponsorship now or in the future? This position will require you to be able to obtain a US Public Trust Clearance.