This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
We are looking for an experienced Data Analyst to support healthcare initiatives in Philadelphia, Pennsylvania. This is a long-term contract position that requires strong analytical skills and a focus on fraud detection and prevention. The ideal candidate will leverage data-driven insights to enhance decision-making and ensure the integrity of healthcare operations.
Job Responsibility:
Conduct detailed data analyses to identify patterns of suspected fraud and anomalies in healthcare systems
Develop and implement fraud detection models using advanced analytics tools and techniques
Collaborate with cross-functional teams to investigate potential fraudulent activities and propose actionable solutions
Utilize platforms such as Epics and Chartmaxx to extract and analyze data effectively
Generate comprehensive reports and dashboards to present findings and support decision-making
Monitor ongoing healthcare operations to ensure compliance with anti-fraud protocols
Optimize data workflows and processes to enhance efficiency and accuracy
Stay updated on industry trends and best practices in fraud analytics and healthcare data analysis
Provide recommendations to improve system integrity and prevent future fraudulent activities
Requirements:
Proven experience in data analysis, particularly in fraud detection and prevention
Strong knowledge of fraud analytics methodologies and anti-fraud strategies
Proficiency in using tools such as Epics and Chartmaxx for data extraction and analysis
Ability to conduct thorough investigations into suspected fraud cases
Excellent problem-solving skills with a focus on actionable insights
Strong communication skills to present complex findings to stakeholders
Familiarity with healthcare systems and operations is highly preferred
Detail-oriented with a commitment to data integrity and accuracy
What we offer:
medical, vision, dental, and life and disability insurance