Data Scientist

Responsibilities

• Perform research, querying, and analysis of complex Medicaid claim and encounter data
• Review financial, billing, and healthcare records to identify trends, anomalies, and patterns indicative of fraud
• Aid in designing, writing, and executing data queries utilizing SQL and other programming languages
• Implement advanced statistical models and data algorithms to identify potential fraud schemes
• Analyze complex healthcare service claim and encounter data to determine utilization and respond to data requests
• Research Medicaid billing, program guides, policies, and medical coding systems to identify irregularities

Requirements

• Bachelor's degree in informatics, data science, mathematics, computer science, statistics, biostatistics, epidemiology, or a related technical field
• One (1) year of experience performing data science or informatics data work
• Proficiency with Microsoft Excel, including complex spreadsheets with macros and advanced functions
• Basic skills and experience with medical coding terminology and systems (CPT, HCPCS, ICD9, ICD10)
• Basic knowledge of medical billings and experience with Microsoft Word, Outlook, and Access
• Ability to examine, analyze, and research financial, billing, and healthcare records

Qualifications

Comprehensive training program to familiarize you with Medicaid data and querying techniques
Excellent benefits package including medical, dental, vision, generous leave, and retirement plans
Opportunities for professional development, growth, and a positive work environment
Flexible schedules and potential for hybrid telework options to support work-life balance

Benefits

Comprehensive training program to familiarize you with Medicaid data and querying techniques
Excellent benefits package including medical, dental, vision, generous leave, and retirement plans

Schedule

Flexible schedules and potential for hybrid telework options to support work-life balance