Remote Sr. Healthcare Data Analyst (Full-time, Remote)

Description:

• The Senior Healthcare Data Analyst position is a full-time, remote role at Integrity Management Services, Inc. (IntegrityM).
• The analyst will possess in-depth knowledge of healthcare systems and intermediate computer and software skills.
• Responsibilities include maintaining confidentiality and security of sensitive information, adhering to privacy and security protocols, and ensuring compliance with training requirements.
• The analyst will build models and conduct analytics to support Medicare and Medicaid fraud, waste, and abuse efforts.
• They will identify anomalies in healthcare data and follow up to determine indications of fraud.
• The role involves building complex models using technologies such as Python, R, SQL, and SAS.
• The analyst will manipulate and extract healthcare claims data stored in a Cloud environment.
• They will develop targeted analyses and continuously learn about Medicare and Medicaid policies.
• The analyst will provide subject matter expertise and guidance to Statistical and Data Analysts, ensuring quality project deliverables.
• They may serve as a Team Lead, managing project activities and communicating with clients.
• Effective communication with technical and non-technical users is essential.
• The analyst will remain informed about industry changes and assess their impact on projects.

Requirements:

• A minimum of a 4-year degree in statistics, mathematics, computer science, or a related field, or at least 6 years of data analysis experience in the healthcare industry is required.
• Candidates must have 6 years of professional experience working with large and complex data sets.
• A minimum of 3 years of data analysis experience within the healthcare industry is necessary.
• Advanced knowledge of analytic, mathematical, and statistical methods is required.
• Experience or understanding of Medicare and Medicaid claims, ICD10 codes, HCPCS, and Diagnosis Related Groups (DRG) is essential.
• Candidates should be confident in merging disparate datasets and using SQL functions.
• Relevant experience in a health-related, scientific, or public policy/business discipline with extensive quantitative methods/statistical knowledge is needed.
• Proficiency in project software such as SAS/SQL, Python/PySpark, Snowflake, R, and Databricks is required.
• Proficiency with Microsoft Office products such as Excel, Word, PowerPoint, and Outlook is necessary.
• Knowledge of analytic methodologies and principles is essential.
• Candidates must demonstrate adaptability to change and be team players.
• The ability to pass a public trust background check is required.

Benefits:

• IntegrityM offers a culture of opportunity, recognition, collaboration, and community support.
• Employees enjoy a flexible workplace that promotes an exceptional quality of life and corporate-driven sustainability.
• The company provides large company perks while maintaining a small company feel.
• IntegrityM has been recognized as a Top Workplace by The Washington Post in 2024.
• The organization fosters a diverse community with flexible, remote-friendly career paths that nurture growth and fulfillment.