Remote Healthcare Fraud Data Analyst

Description:

• Softrams is seeking a Healthcare Data Analyst to research program integrity vulnerabilities and develop analytical models supporting fraud prevention efforts.
• The role may also support efforts to evaluate healthcare outcomes and program benefits or support program operations.
• The selected candidate will work with a project team in support of federal clients in the Baltimore-Washington metro area.
• The position requires the ability to obtain a U.S. Federal Position of Trust clearance designation.
• Candidates must reside in and be able to perform work in the United States and have lived in the U.S. for 3 of the last 5 years.

Requirements:

• A Bachelor’s degree in data science, statistics, mathematics, public health, economics, or a related quantitative field is required.
• Candidates must have 8+ years of experience in data analysis, software/application development, business system analysis, or program integrity investigations.
• A minimum of 5 years of experience using statistical methodologies to assess healthcare program integrity or evaluate healthcare outcomes, particularly in Medicare, Medicaid, and Managed Care programs is necessary.
• Knowledge of healthcare claims data and beneficiary benefits, especially in Medicare and Medicaid, is essential.
• Advanced proficiency with analytical software including Python and/or R is required to manipulate and analyze data and build analytical models.
• In-depth knowledge of statistics and algorithms used in machine learning, text analytics, deep learning, and/or predictive modeling is necessary.
• Experience with data engineering using SQL queries, Spark, and/or Python to extract and transform large volumes of data is required.
• Candidates must have experience using cloud-based services and resources (e.g., AWS, Azure, Google Cloud).
• The ability to obtain a Public Trust Clearance is required, and candidates must have a minimum of 3 years of stay in the U.S. within the last 5 years to qualify for public trust clearance sponsorship.

Benefits:

• Softrams offers a 100% remote-first team environment, allowing flexibility in work location.
• Standard work hours are from 9am ET to 5pm ET, with flexibility around start and end times based on team needs.
• The company is recognized as a Top Workplace USA (2024) and has received multiple accolades for being one of the fastest-growing companies in the region.
• Softrams is committed to providing equal opportunity and reasonable accommodation for individuals with disabilities in employment and its services.