Data Analyst Fraud Waste & Abuse
About The Position
The Fraud, Waste, and Abuse (FWA) Analyst helps safeguard state Medicaid programs by identifying, analyzing, and preventing fraudulent activity within Medicaid claims. Working with a State Government Product and Data Mining team, the analyst assists with developing and deploying algorithms that support program integrity across platforms and states, and supports fraud and abuse detection products and services. The role offers performance recognition, clear direction on success, and development opportunities for other roles. Employees working remotely must adhere to UnitedHealth Group’s Telecommuter Policy.
Requirements
- At least 3 years of experience writing intermediate SQL queries.
- At least 3 years of fraud, waste, and abuse data-mining experience.
- At least 2 years of data analysis experience working with database structures.
- At least 2 years of healthcare claims experience.
Nice To Haves
- Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE) certification.
- Experience with statistical analysis of data.
- Knowledge of Medicaid policy and real-life fraud, waste, and abuse schemes.
- Knowledge of healthcare claim adjudication systems.
- Experience with Rally.
Responsibilities
- Assist in developing and deploying algorithms to support program integrity across platforms and states.
- Support fraud and abuse detection products and services.
- Identify, analyze, and help prevent fraudulent activities within Medicaid claims.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
